# Pediatric Radial Neck Fracture: A Case Report Along With Surgical Tips on the Metaizeau Technique

## TL;DR

This case report describes a successful surgical treatment of a rare radial neck fracture in a child using the Metaizeau technique with practical tips for better outcomes.

## Contribution

The paper introduces practical surgical tips to improve the Metaizeau technique for radial neck fracture fixation in children.

## Key findings

- The Metaizeau technique was successfully applied to a 10-year-old male with a radial neck fracture.
- Surgical adjustments such as oscillating T-handle movements and C-arm repositioning improved fixation accuracy.
- The tips provided help prevent loss of reduction during the procedure.

## Abstract

Radial neck fractures in children are an uncommon phenomenon. The Metaizeau technique for closed intramedullary nailing is a well-documented method for treating this type of fracture. We performed the Metaizeau technique for radial neck fracture fixation on a 10-year-old Indian male patient. The original method described by Metaizeau was followed, with surgical adjustments based on our experience to achieve a satisfactory result. This report provides the surgeon performing the Metaizeau technique with simple tips to assist in fracture reduction and fixation and avoid loss of reduction. These include oscillating movements of the T-handle for proximal progression of the nail/K-wire, gentle stabilizing counterforce over the radial head during entry into the proximal epiphysis, and moving the C-arm instead of the elbow during the nailing process for anteroposterior, oblique, and lateral imaging.