Fracturas epifisiolisis graves de la extremidad proximal del radio: resultado tras tratamiento quirúrgico

The fracture epiphysiolysis of radial neck is a grave lesion which may induc e epiphysea l grown disturbances. A review of 22 case s suffering such fracture s was carried out with a mean follow-up of 2 years. Of the total, 14 cases wer e treated by surgery, 10 of thes e showing either type III or Jeffery's fractures. Eleven patients reequired open reduction. In 50% of the cases treated by open reduction and internal fixation, the clinical results wer e satisfactory. When internal fixation was not used, the satisfactory results reached 100%. Five of the 8 cases of the firt groups developed periarticular ossifications and 2 othe r showed epiphyseal closening. Thes e type of complications wer e not seen in the second group. For epiphysiolysis of the radial neck with sever e displacement. The ideal treatment seems to be a careful open reduction avoiding internal fixation.