FRACTURE OF THE RADIAL NECK FOLLOWING ELBOW SUBLUXATION IN CHILDREN. JEFFERY TYPE II LESION. A NEW CONCEPT OF FIXATION

  Introduction Since Jeffery, in 1950, described the type II fracture to the present day, the literature has only twenty-eight cases of children with this type of injury. Material and Methods We would like to present a new concept of fixation of this fracture which, as far as we know, has never been described in the literature. Results Open reduction should be performed with minimal injury to osteochondral, ligamentous and muscular structures to reduce complications associated with this injury. We believe that the best technique, once you decide to perform an open approach is to fix the fracture with mini-screws. Achieve a stable fixation and avoids the distraction of the fracture. Discussion Although there is no consensus regarding the need for internal fixation or the type of fixation system to be used in the Jeffery type II fracture, we recommend an open approach and fix the fracture with screws, in order to stabilize the fracture. Introducción Desde que en 1950, Jeffery describiese la fractura typo II, en la literatura solo se han encontrado 28 casos Material y Metodos  Presentamos un nuevo concepto de fijación de esta fractura, que nunca antes ha sido descrito Resultados  La reducción abierta, debe realizarse minimizando el riesgo de lesión osteocondral, ligamentosa y muscular para reducir el índice de lesion asociada. La mejor tecnica, una vez que se decide realizar un abordaje abierto es fijar la fractura con tornillos de mini-fragmentos. Adquiriendo una fijación estable que evita la distracción de la fractura Discusión  A pesar que no existe consenso sobre el tipo de fijación recomendada para las fractura Jeffery tipo II, nosotros recomendamos, realizar abordaje abierto y fijación con tornillos para estabilizar la fractura