Research paper

Odległe wyniki leczenia przemieszczonych złamań bliższej części kości promieniowej u dzieci

Aleksander Remesz, Maciej Trusewicz, Konrad Drewek, Maciej Pakuła

Ann. Acad. Med. Gedan. 2012 (vol. 42), No 1:
Publication date: 2012-02-01
Language: pl


Fractures of proximal radius constitute 1% of all of pediatric fractures, mean age at the moment of injury is 9-10 years. The aim of this study was evaluation of extremity function and life quality of children treated for radial head and neck fractures in the Pediatric Orthopeadics Departament of the Departament of Orthopaedics and Traumatology of MUG. 20 children treated between 2003 and 2010 were enrolled to the study, the mean age at the moment of injury was 10.5 year, the most common cause was one level fall on a stretched extremity. 11 patients were followed-up (3 underwent closed reposition, 8 open reposition), the mean time of observation was 4 years. The evaluation of treatment was based on range of motion and pain. Results differed depending on the used classification, 64% had a good or very good result according to Tibone and Stolz, 81% had a fair result according to Steinberg. 2 and 1 patients had a bad result, respectively. There was greater limitation of flexion-extension in operated patients. 13 patients were evaluated by life quality questionnaire. The mean score was 92.5% and was significantly related to the limitation of pronation-supination. The outcomes of the study confirm the relationship between worse extremity function and life quality decrease, and primary displacement. A small portion of excellent results of operative treatment is observed. The authors suggest unification of results classification of proximal radius fractures treatment.