{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T17:17:46Z","timestamp":1784999866097,"version":"3.55.0"},"reference-count":18,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2019,8,19]],"date-time":"2019-08-19T00:00:00Z","timestamp":1566172800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare the clinical effectiveness of a novel approach, percutaneous leverage reduction using two Kirschner-wires (k-wires) combined with the M\u00e9taizeau technique, versus open reduction plus internal fixation with k-wire for the treatment of Judet IV radial neck fractures in children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Thirty-four patients with Judet IV radial neck fractures were treated either with percutaneous leverage reduction using two k-wires and the M\u00e9taizeau technique (n\u2009=\u200916) or open reduction plus internal fixation with k-wire (n\u2009=\u200918). Patient data including sex, age, time from trauma to surgery, fracture type, follow up, postoperative healing time, X-ray studies, elbow function, and complications were collected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were no significant differences in patient characteristics between the two treatment groups. In postoperative elbow function assessment, 93.8% of patients in the group that underwent the novel treatment approach had a score of excellent or good, compared with 83.3% of patients in the open reduction and internal fixation with k-wire group. Furthermore, no postoperative complications were reported in patients in the novel treatment group, compared with 5 patients in the open reduction and internal fixation with k-wire group. All patients in both groups were classified as excellent or good according to M\u00e9taizeau criteria in postoperative X-ray assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Compared with the open reduction and internal fixation with k-wire approach, percutaneous leverage reduction using two k-wires combined with the M\u00e9taizeau technique can significantly increase the minimally invasive reduction rate, and represents an attractive strategy for the treatment of Judet IV radial neck fractures in children.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0300060519825990","type":"journal-article","created":{"date-parts":[[2019,8,19]],"date-time":"2019-08-19T04:40:38Z","timestamp":1566189638000},"page":"5497-5507","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Percutaneous leverage reduction with two Kirschner wires combined with the M\u00e9taizeau technique versus open reduction plus internal fixation with a single Kirschner-wire for treating Judet IV radial neck fractures in children"],"prefix":"10.1177","volume":"47","author":[{"given":"Xiangping","family":"Du","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Jiangxi Provincial Children\u2019s Hospital, Nanchang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lirong","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Jiangxi Provincial Children\u2019s Hospital, Nanchang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhigang","family":"Xiong","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Jiangxi Provincial Children\u2019s Hospital, Nanchang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gan","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Jiangxi Provincial Children\u2019s Hospital, Nanchang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Zou","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Jiangxi Provincial Children\u2019s Hospital, Nanchang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0533-2499","authenticated-orcid":false,"given":"Xinle","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Jiangxi Provincial Children\u2019s Hospital, Nanchang, 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