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 dis tal diaphyso-metaphyseal fractures of the radius, when they are anteriorly displaced, avoiding the classical use of an anterior osteosynthesis by plat e and screws. Material and Methods Ten cases of postero medial Elastic Stable Intramedullary Nailing are prese nted. Technically, a small postero medial approach with gentle retraction o f extensors tendons is used. Then a hole is drilled through the postero med ial metaphysis of the distal radius. A prebent wire is introduced intramedu llary, directing its elastic forces in a postero lateral way, fighting agai nst 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 inj ure of the growth plate, scar). Retrograd nailing through the proximal end of the bone can injure nerves. Then, postero medial Elastic Stable Intramed ullary Nailing can be useful for stabilization of the diaphyso-metaphyseal fractures of the radius.