{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T03:43:17Z","timestamp":1771299797585,"version":"3.50.1"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:title>Summary:<\/jats:title>\n          <jats:p>Neglected or incorrect treatment of pediatric radial neck fractures may lead to symptomatic malunions. Computer-assisted corrective osteotomies with patient-specific guides have been proposed as a promising technique for the reconstruction of malunited long bone deformities. The aim of this study was to evaluate the accuracy and clinical outcome of this technique in children with malunited fractures of the radial neck. Four children [2 boys, 2 girls; mean age 12 (10\u201316) years] underwent computer-assisted closing wedge osteotomy of the radial neck. The contralateral uninjured side was used as a reconstruction template. Computed tomography were performed 8 weeks postoperatively to confirm bony consolidation and to quantify residual 3D rotational and translational displacement error. Clinical outcome [pain, range of motion (ROM)] and overall satisfaction were documented. Preoperative subluxation of the radial head could be corrected in 2 of 3 patients. One patient had to be revised because of secondary traumatic loss of reduction. At the last follow-up [mean 16 (range, 12\u201324) months], all patients were pain free for activities of daily living (preoperative pain: visual analog scale 6). Pain during sport activities could be substantially reduced (visual analog scale 8\u21922). Although the procedure failed to improve ROM, none of the patients had limitations regarding work, daily, or sports activities. Yet, restricted ROM was considered as a cosmetic problem in 1 patient. Full consolidation of the osteotomy site, with no signs of avascular necrosis of the radial head, was achieved in all patients. The deformity could be substantially reduced, from a 3D angle of 13\u201340 degrees to 3\u20137 degrees (58%\u201389% deformity correction). Computer-assisted corrective osteotomy is a novel technique for the treatment of radial neck malunions that led to adequate pain reduction and 3D accuracy of deformity correction in our small case series. Despite the lack of improved ROM, all patients were satisfied and would undergo the same procedure again.<\/jats:p>","DOI":"10.1097\/bot.0000000000000970","type":"journal-article","created":{"date-parts":[[2017,7,25]],"date-time":"2017-07-25T20:18:40Z","timestamp":1501013920000},"page":"e436-e441","source":"Crossref","is-referenced-by-count":10,"title":["Computer-Assisted Corrective Osteotomy of Malunited Pediatric Radial Neck Fractures\u2014Three-Dimensional Postoperative Accuracy and Clinical Outcome"],"prefix":"10.1097","volume":"31","author":[{"given":"Lizzy","family":"Weigelt","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philipp","family":"F\u00fcrnstahl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Schweizer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20230828","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1001\/jama.1951.03670080007002","article-title":"Fractures of the elbow in children","volume":"146","author":"Blount","year":"1951","journal-title":"J Am Med Assoc."},{"key":"R2-20230828","doi-asserted-by":"crossref","first-page":"246","DOI":"10.3109\/17453676908989505","article-title":"Isolated fractures of the proximal end of the radius in children epidemiology, treatment and prognosis","volume":"40","author":"Henrikson","year":"1969","journal-title":"Acta Orthop Scand."},{"key":"R3-20230828","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1097\/BPO.0000000000000387","article-title":"Radial neck fractures in children and adolescents: an examination of operative and nonoperative treatment and outcomes","volume":"36","author":"De Mattos","year":"2016","journal-title":"J Pediatr Orthop."},{"key":"R4-20230828","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1097\/BPB.0000000000000057","article-title":"Radial neck fractures in children: experience from two level-1 trauma centers","volume":"23","author":"Basmajian","year":"2014","journal-title":"J Pediatr Orthop."},{"key":"R5-20230828","doi-asserted-by":"crossref","first-page":"79","DOI":"10.3109\/17453677909024093","article-title":"The significance of associated lesions including dislocation in fractures of the neck of the radius in children","volume":"50","author":"Lindham","year":"1979","journal-title":"Acta Orthop Scand."},{"key":"R6-20230828","doi-asserted-by":"crossref","first-page":"1825","DOI":"10.2106\/JBJS.L.01130","article-title":"Surgical Management of pediatric radial neck fractures","volume":"95","author":"Zimmerman","year":"2013","journal-title":"J Bone Jt Surg."},{"key":"R7-20230828","first-page":"232","article-title":"Management of radial neck fractures in children: a retrospective analysis of one hundred patients","volume":"13","author":"D'souza","year":"1993","journal-title":"J Pediatr Orthop."},{"key":"R8-20230828","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1097\/BPO.0b013e3181cf118a","article-title":"Displaced radial neck fractures in children: association of the M\u00e9taizeau and B\u00f6hler surgical techniques","volume":"30","author":"Brand\u00e3o","year":"2010","journal-title":"J Pediatr Orthop."},{"key":"R9-20230828","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1097\/00003086-199808000-00005","article-title":"Controversies regarding radial neck fractures in children","author":"Radomisli","year":"1998","journal-title":"Clin Orthop Relat Res."},{"key":"R10-20230828","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1302\/0301-620X.53B3.429","article-title":"Displaced fractures of the neck of the radius in children","volume":"53","author":"Jones","year":"1971","journal-title":"J Bone Joint Surg Br."},{"key":"R11-20230828","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1016\/j.injury.2011.08.001","article-title":"Radial neck fractures in children treated with the centromedullary Metaizeau technique","volume":"43","author":"Al-Aubaidi","year":"2012","journal-title":"Injury"},{"key":"R12-20230828","doi-asserted-by":"crossref","first-page":"760","DOI":"10.1302\/0301-620X.74B5.1527130","article-title":"Angulated radial neck fractures in children","volume":"74-B","author":"Steele","year":"1992","journal-title":"J Bone Jt Surg Br"},{"key":"R13-20230828","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1007\/s11552-009-9233-4","article-title":"Complex radius shaft malunion: osteotomy with computer-assisted planning","volume":"5","author":"Schweizer","year":"2010","journal-title":"Hand."},{"key":"R14-20230828","doi-asserted-by":"crossref","first-page":"2339","DOI":"10.1016\/j.jhsa.2013.09.023","article-title":"Three-dimensional correction of distal radius intra-articular malunions using patient-specific drill guides","volume":"38","author":"Schweizer","year":"2013","journal-title":"J Hand Surg Am."},{"key":"R16-20230828","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12891-015-0793-x","article-title":"Three-dimensional postoperative accuracy of extra-articular forearm osteotomies using CT-scan based patient-specific surgical guides","volume":"16","author":"Vlachopoulos","year":"2015","journal-title":"BMC Musculoskelet Disord."},{"key":"R17-20230828","doi-asserted-by":"crossref","first-page":"e150","DOI":"10.2106\/JBJS.K.00829","article-title":"Computer-assisted corrective osteotomy for malunited diaphyseal forearm fractures","volume":"94","author":"Miyake","year":"2012","journal-title":"J Bone Jt Surg Am"},{"key":"R18-20230828","doi-asserted-by":"crossref","first-page":"2375","DOI":"10.2106\/JBJS.G.01299","article-title":"Three-dimensional corrective osteotomy of malunited fractures of the upper extremity with use of a computer simulation system","volume":"90","author":"Murase","year":"2008","journal-title":"J Bone Joint Surg Am."},{"key":"R19-20230828","first-page":"51","article-title":"Injuries involving the proximal radial epiphysis","volume":"41","author":"O'Brien","year":"1965","journal-title":"Clin Orthop Relat Res."},{"key":"R20-20230828","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1097\/01241398-200109000-00003","article-title":"Radial neck fracture nonunion in children","volume":"21","author":"Waters","year":"2001","journal-title":"J Pediatr Orthop."},{"key":"R21-20230828","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.1007\/s00264-010-1107-4","article-title":"Comparison between radial head replacement and open reduction and internal fixation in clinical treatment of unstable, multi-fragmented radial head fractures","volume":"35","author":"Chen","year":"2011","journal-title":"Int Orthop."},{"key":"R22-20230828","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1016\/j.jse.2010.09.005","article-title":"Resection arthroplasty for radial head fractures: long-term follow-up","volume":"20","author":"Iftimie","year":"2011","journal-title":"J Shoulder Elb Surg."},{"key":"R23-20230828","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1016\/j.jse.2010.05.022","article-title":"Mid- to long-term results after bipolar radial head arthroplasty","volume":"19","author":"Burkhart","year":"2010","journal-title":"J Shoulder Elb Surg."},{"key":"R24-20230828","doi-asserted-by":"crossref","first-page":"558","DOI":"10.2106\/JBJS.I.00332","article-title":"Long-term results of radial head resection following isolated radial head fractures in patients younger than forty years old","volume":"92","author":"Antuna","year":"2010","journal-title":"J Bone Jt Surg Am."},{"key":"R25-20230828","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1016\/j.jse.2010.11.008","article-title":"Proximal radial drift following radial head resection","volume":"20","author":"Schiffern","year":"2011","journal-title":"J Shoulder Elb Surg."},{"key":"R26-20230828","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1097\/BPO.0b013e3181ec95e0","article-title":"Neck osteotomy for malunion of neglected radial neck fractures in children: a report of 2 cases","volume":"30","author":"Ceroni","year":"2010","journal-title":"J Pediatr Orthop."},{"key":"R27-20230828","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2015\/871429","article-title":"Radial neck osteotomy for malunion of radial neck fracture in childhood","volume":"2015","author":"Vandergugten","year":"2015","journal-title":"Case Rep Orthop."},{"key":"R28-20230828","doi-asserted-by":"crossref","first-page":"481","DOI":"10.3928\/0147-7447-19980401-22","article-title":"Osteotomy for malunion of a radial neck fracture","volume":"21","author":"Inhofe","year":"1998","journal-title":"Orthopedics"}],"container-title":["Journal of Orthopaedic Trauma"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00005131-201712000-00018","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T06:31:23Z","timestamp":1693204283000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00005131-201712000-00018"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12]]},"references-count":27,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.1097\/bot.0000000000000970","relation":{},"ISSN":["0890-5339"],"issn-type":[{"value":"0890-5339","type":"print"}],"subject":[],"published":{"date-parts":[[2017,12]]}}}