PMC4537891_01
Preoperative AP and lateral view of the elbow
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F0001
Patient's radiographs revealed displaced and angled radial neck fracture (Figure 1).
Adequate reduction by percutaneous external K-wire
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F0002
One K-wire, which can be used as a joystick, was inserted into radial head under fluoroscopic controlin the transverse plane to achieve reduction indirectly (Figure 2).
Intramedullary K-wire is pushed upwards and has been twisted so that it points face inward, the lateral shift is corrected
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F0003
As the patient was adult, a second intramedullary 1.8-mm K-wire was inserted to achieve a more stable fixation (Figure 3).
AP and lateral projections of elbow 1 year after the fracture
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F0004
Intramedullary pin was removed from the patient under local anesthesia in the outpatient clinic after 4 weeks (Figure 4).
Full functional movement of the elbow with excellent result
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F0005
Elbow joint was pain-free (Figure 5).