A Prospective Study to Find the Functional Outcome of Displaced Radial Neck Fracture Among Children Treated with Closed Reduction Internal Fixation with Intramedullary Nailing

Background: Radial neck fracture among children is very common. If fractures not treated early it further leads to malunion. Number of times such malunion are irreversible and may lead to disability for lifetime. The most important set of problems that can happen in this fracture involves the blood supply to the radial head. The radial head is supplied by periosteal vessels in the neck. As a result, any trauma to the proximal end of the radius (with or without a fracture) will produce an aseptic necrosis of the radial neck and head of varying severity. This can precipitate a slight shortening of the proximal end of the radius with a propensity toward slight valgus deviation of the elbow axis. However, the concurrent widening and thickening of the radial head and neck are more significant; in extreme cases, this can restrict pronation and supination. One of the recent advances in treatment of distal radius fractures is the more frequent application of open reduction and internal fixation, especially for intra-articular fractures and other one is treated with treated with closed reduction internal fixation with intramedullary nailing