Postero medial Elastic Stable Intramedullary Nailing for anteriorly displaced distal diaphyso-metaphyseal fractures of the radius by children

Purpose To suggest a mechanically satisfying method to stabilize the unfrequent distal diaphyso-metaphyseal fractures of the radius, when they are anteriorly displaced, avoiding the classical use of an anterior osteosynthesis by plate and screws. Material and Methods Ten cases of postero medial Elastic Stable Intramedullary Nailing are presented. Technically, a small postero medial approach with gentle retraction of extensors tendons is used. Then a hole is drilled through the postero medial metaphysis of the distal radius. A prebent wire is introduced intramedullary, directing its elastic forces in a postero lateral way, fighting against the displacement. Discussion The instability of this fracture often requires an osteosynthesis. Plating needs a larger incision and a direct control of the fracture (danger of injure of the growth plate, scar). Retrograd nailing through the proximal end of the bone can injure nerves. Then, postero medial Elastic Stable Intramedullary Nailing can be useful for stabilization of the diaphyso-metaphyseal fractures of the radius.