RESUMEN
Several techniques are available for the treatment of displaced fractures of the neck of the radius in children. We report our experience in 14 children treated by indirect reduction and fixation using an elastic stable intramedullary nail. The patients were followed up for a mean of 28 months. One developed asymptomatic avascular necrosis. The rest had excellent results. One had a neuropraxia of the posterior interosseous nerve, which recovered within six weeks. We advocate elastic stable intramedullary nailing for the closed reduction and fixation of these fractures in children.
Asunto(s)
Clavos Ortopédicos , Fijación Intramedular de Fracturas/métodos , Fracturas del Radio/cirugía , Adolescente , Niño , Preescolar , Elasticidad , Diseño de Equipo , Femenino , Fijación Intramedular de Fracturas/instrumentación , Humanos , Masculino , Fracturas del Radio/complicaciones , Resultado del TratamientoRESUMEN
Chemically induced avascular necrosis of bone is a well documented entity. Indomethacin is one of the causes of this condition but is often difficult to recognise. Review of the literature shows that only one case of indomethacin induced avascular necrosis has been reported in the English language between 1966 and the present. The case of a young healthy man, who developed avascular necrosis of head of femur after prolonged administration of indomethacin, is reported here.