FRACTURE OF THE RADIAL NECK FOLLOWING ELBOW SUBLUXATION IN CHILDREN. JEFFERY TYPE II LESION. A NEW CONCEPT OF FIXATION
Since Jeffery, in 1950, described the type II fracture to the present day, the literature has only twenty-eight cases of children with this type of injury.Material and Methods
We would like to present a new concept of fixation of this fracture which, as far as we know, has never been described in the literature.Results
Open reduction should be performed with minimal injury to osteochondral, ligamentous and muscular structures to reduce complications associated with this injury. We believe that the best technique, once you decide to perform an open approach is to fix the fracture with mini-screws. Achieve a stable fixation and avoids the distraction of the fracture.Discussion
Although there is no consensus regarding the need for internal fixation or the type of fixation system to be used in the Jeffery type II fracture, we recommend an open approach and fix the fracture with screws, in order to stabilize the fracture.
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