PMC9826559_01
Displaced fracture neck of right radius (Judet Type IV B classification).
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F1
There was no distal neurovascular deficit. following which X-ray was taken and she was diagnosed with displaced fracture neck of Right (JUDET TYPE IV b CLASSIFICATION as shown in Fig. 1).
Closed manipulation technique as described by Patterson.
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F2
Under general anesthesia closed manipulation technique was tried as described by Patterson as given in (Fig. 2).
5 cm incision (lateral kochers approach) made over lateral aspect of elbow joint.
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F3
After separating these two muscles radius, head was exposed as given in (Fig. 3).
Fracture site found to be completely displaced by 180 (radial articular surface facing fracture site).
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F4
Fracture site found to be completely displaced by 180  (radial articular surface facing fracture site) as given in (Fig. 4).
1.25 mm Kirschner wire is passed from lateral to medial (taking care to protect the posterior interosseous nerve by hyper pronation ) in elbow and flexed to 90 .
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F5
After correcting anatomical reduction, the 1.25 mm Kirschner wire is passed from lateral to medial (taking care to protect the posterior interosseous nerve by hyper pronation) in elbow and flexed to 90  as shown in (Fig. 5).
Reduction checked under c arm found to be satisfactory in extention.
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F6
Reduction checked under c arm found to be satisfactory in flexion and extension (Fig. 6) of elbow and supination and pronation of forearm.
(a) Immediatepost-operativeX-ray. (b) Post-operative 1-month follow-up. (c) Post-operative 2-month follow-up.
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F7
Immediate post-operative X-ray was taken and found to be satisfactory sequential monthly follow-up X-ray was taken and k wire was removed as shown in (Fig. 7).
Clinical picture at 3-month follow-up (a) forearm in 90  flexion of elbow joint in supination and (b) forearm in 90  flexion of elbow joint in pronation. Clinical picture at 3-month follow-up (c) and (d) forearm in 90  flexion of elbow joint in 150 .
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F8
After 3-month postoperatively, she has good functional outcome of the right elbow joint as shown in (Fig. 8).