Metaizeau technique combined with Esmarch tourniquet in children with displaced radial neck fracture
ZENG Hui-yi
CAI Xiu-ying
LU Xiao-kun
YE Ping-ping
LI Bing-zuan
WANG Jian-si
Abstract：Objective To investigate the feasibility and treatment effect of using Esmarch tourniquet combined with Elastic Stable Intramedullary Nailing(ESIN)in children with Judet Ⅲ and Judet Ⅳ radial neck fracture.Methods A retrospective analysis was conducted from April 2022 to February 2024,including 65 children(33 males and 32 females)with a median age of(8.33±2.825)years(range:3-12 years).According to the Judet classification,45 fractures were classified as type Ⅲ and 20 as Type Ⅳ.The patients were divided in two groups according to different treatment methods:Esmarch tourniquet group(test group,n=21)and Kirschner wire group(control group,n=42).The study recorded the surgical time,reduction time,reduction quality evaluated according to the Metaizeau radiological standard,and elbow joint function evaluated according to the Mayo Elbow Performance index.Results All patients were available for an average follow up of(4.11±1.61)months(range:2-9 months).No significant difference was observed between K-wire fixation and Esmarch tourniquet at surgical duration[(77.62±34.11)minutes vs.(65.00±21.87)minutes.(t=1.001,P=0.339)],and healing time[(5.22±1.563)months vs.(4.04±0.99)months,(t=2.109,P=0.06)].Meanwhile,there was no significant difference in the Metaizeau radiological standard,and elbow joint function evaluated according to the Mayo Elbow Performance index(χ2=0.54,P=0.817).In the evaluation of postoperative nerve injury,the control group had 7 cases of postoperative nerve injury,but all recovered 3 months later with no obvious nerve injury and skin necrosis.The nerve injury was higher in the K-wire fixation group compared to Esmarch tourniquet group(χ2=3.938,P=0.043).Conclusions Esmarch tourniquet can avoid the nerve injury.It might be a choice for the treatment of displaced radial neck fractures in children.
Keywords：ChildRadius fracturesTourniquetsFracture reduction
Publication Date：2025-04-19
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 343-347 )