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KMID : 1037920170040010039
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Arthroscopy and Orthopedic Sports Medicine
2017 Volume.4 No. 1 p.39 ~ p.43
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Arthroscopic treatment of radial neck fractures in children: a technical note
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Kim Jong-Yun
Kim Jeong-Woo
Lee Jong-Myoung
Lee Sung-Hyun
Cho Hang-Hwan
Han Joung-Kyue
Kim Se-Jin
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Abstract
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Pediatric radial neck fractures should be treated by noninvasive methods such as closed reduction whenever possible. However, in cases of failed closed reduction or of instances where closed reduction is not an option because of severe angulation, open reduction and internal fixation may be required. But the use of such invasive procedures to treat children can cause complications such as developmental disabilities. When closed reduction fails in pediatric patients with radial neck fractures, arthroscopic reduction and percutaneous Kirschner wire (K-wire) fixation, rather than open reduction, can achieve accurate reduction through direct intraarticular visualization and reduce complications. Therefore, arthroscopic reduction and percutaneous K-wire fixation should be considered as alternative, minimally invasive treatment modalities.
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KEYWORD
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Radius fracture, Children, Arthroscopy, Arthroscopic surgery
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