Radial neck fracture fixation by Metaizeau technique in adults: A case series and review of literature

Abstract

Purpose: To evaluate the use of Metaizeau technique in the treatment of radial neck fracture in adults. Method: A total of eight patients were treated with intramedullary pinning (Metaizeau technique) using titanium elastic nails. All the patients suffered isolated radial neck fracture. Fracture morphology in all the patients had angulation more than 30° and were displaced, tilted with the impacted articular fragment. All the patients had Mason’s type III or Judet’s type II or III fracture. The mean age of patients was 31.3 years, and all were operated within 7 days of suffering the injury. The mean follow-up was 9 months. For subjective evaluation, patients rated their satisfaction for elbow use on a scale of 1–6. Objective assessment includes Mayo elbow performance score, active range of motion of flexion and extension and forearm rotation. Results: The active ranges of motion and hand grip strength were comparable in both upper limbs. Similarly, the range of flexion–extension and pronation–supination were identical. In all cases, the titanium elastic nails had already been removed after 8 weeks with osseous healing of the radial neck. Patients rated their satisfaction for elbow function as very good in six cases and good in two cases. Conclusions: In the present case series, the results of the use Metaizeau technique in adults were promising. The proper selection of the patient and timing of surgery should be considered judiciously. Further large case series is required to ascertain the results. Level of evidence: Level IV.