Abstract

Objective To analyze the influence of radial neck fracture on the upper limb function in older children, and to evaluate the curative effect of plate fixation in the treatment of Salter-Harris II type of radial neck fracture. Methods The clinical data of 16 older children with radial neck fractures who treated by T plate internal fixation were retrospectively analyzed. 16 cases were closed fractures, merging radial nerve injury in 1 case,3 cases of distal humerus fractures,1 case with rib fractures, fractures were Salter- Harris II type,adopt steel plate internal fixa tion. Results 16 patients were followed up for 9-18 months. X-ray healing time was 6- 9 weeks on average 7.6 weeks. No malunion and no healing, no case of epiphyseal injuries. 1 patient appeared steel block forearm supination. Postoperative patients with forearm pronation were greater than 90°supination were greater than 60°. No radial nerve injury. Evaluation results were good. Conclusion Clinical treatment effect of open reduction and plate internal fixation in the treatment of older children with Salter- Harris II type of radial neck fracture is satisfactory. Surgical treatment not only can enhance the fracture stability, but also can do the elbow joint function exercise to prevent dysfunction much earlier. Key words: Radial neck fracture; T steel plate; Fracture fixation

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