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Case Reports in Orthopedics
Volume 2015, Article ID 871429, 4 pages
http://dx.doi.org/10.1155/2015/871429
Case Report

Radial Neck Osteotomy for Malunion of Radial Neck Fracture in Childhood

Department of Orthopaedic Surgery, Grand Hopital de Charleroi (GHdC), Grand’Rue 3, 6000 Charleroi, Belgium

Received 14 April 2015; Accepted 2 August 2015

Academic Editor: Nikolaos K. Kanakaris

Copyright © 2015 Simon Vandergugten et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

In a case of a neglected radial neck fracture in childhood, the management of initial fracture and its complications are subjected to discussion. In children, open reduction should be avoided but an angulation less than 30° must be obtained. Several techniques exist to manage symptomatic malunion in adults, including resection, prosthesis, and osteotomy. When performing an osteotomy, it is important first to preserve an intact osseous hinge to avoid avascular necrosis and second to align the edge of the radial head articular surface with the lateral edge of the coronoid process, in order to avoid overstuffing elbow joint.