Both-Bone Midshaft Forearm Fractures in Children

Kay, Stephen P.; Smith, Chadwick F.; Oppenheim, William L.

doi:10.1097/01241398-198605000-00009

Cited by 151 publications

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“…Internal fixation may be indicated if conservative treatment fails to maintain alignment, in children nearing skeletal maturity, and in open fractures [8,9]. Diaphyseal forearm fractures are known to remodel poorly, with a high incidence of malunion [10]. Residual angulation or rotational deformity can lead to a significant reduction in pronosupination [11], particularly in older children in whom there is less potential for bone remodelling.…”

Section: Introductionmentioning

confidence: 99%

Functional outcome following intramedullary nailing or plate and screw fixation of paediatric diaphyseal forearm fractures: A systematic review

Westacott

Jordan

Cooke

2012

Journal of Children's Orthopaedics

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Section: Introductionmentioning

confidence: 99%

Functional outcome following intramedullary nailing or plate and screw fixation of paediatric diaphyseal forearm fractures: A systematic review

Westacott

Jordan

Cooke

2012

Journal of Children's Orthopaedics

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“…However, diaphyseal forearm fractures treated conservatively are known to remodel poorly compared to the distal one-third, with a higher incidence of malunion [5]. The residual deformity following malunited fractures does not always correct, especially in older children [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

An age- and sex-matched comparative study on both-bone diaphyseal paediatric forearm fracture

Teoh

Chee

Shortt

et al. 2009

Journal of Children's Orthopaedics

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Purpose Intramedullary (IM) nailing and plating are recognised fixation methods for both-bone midshaft forearm fractures. Although both methods are effective, IM nailing has recently been the accepted operative treatment for the paediatric population. The aim of the study was to compare the differences in the radiographic and functional outcomes of an age-and sex-matched cohort of children following treatment by IM fixation or plate fixation with screws for an unstable both-bone diaphyseal fracture. Methods A retrospective study was conducted and 17 age-and sex-matched pairs of patients returned for a research review clinic. The average age of our patients was 11.6 years at follow up, with 11 boys and six girls in each group. The mean follow up was similar in both groups (IM 31.5 months, plating 31.8 months). Results Plating and IM nailing result in good or excellent functional and radiological outcomes. Radiographs at the review clinic showed complete healing in the plating group, with reconstitution of the radial bow. Three patients in the IM group did not regain the natural radial bow radiographically. There were no significant differences between both groups for maximum radial bow and its location (P [ 0.05). However, the maximum radial bow was significantly different from normative values in both groups (P = 0.003 plate, P = 0.005 IM). No non-union or malunion was observed. There were no significant differences in the loss of forearm motion and grip strength between both groups. There was no difference in the Pediatric Orthopaedic Society of North America (POSNA) scores between both groups. The plating group had a significantly worse Manchester scar score than the IM group (P = 0.012). One major complication was observed in each group: osteomyelitis for IM fixation and ulnar never palsy for plating. Conclusion Our study suggests that functional outcome is likely to be equivalent, regardless of which method of internal fixation is used.

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“…Kadavra çalışmalarına göre 10º'den fazla sagital plan deformitesi rotasyonel kayıplara neden olabilir (15,16). Açısal deformitenin 10º'den, malrotasyonun 45º'den fazla olması ve tam deplasmanda cerrahi girişim gerekir (17,18 (18,19). Ayrıca intramedüller tespitte daha kısa ameliyat süresi, kozmetik sonuç, minimal yumuşak doku diseksiyonu ve implantın kolay çıkartılması başlıca avantajları arasında sayılabilir (11-14, 20, 21).…”

Section: Discussionunclassified

The Effect on Clinical and Radiological Results of Open or Closed Reduction in Unstable, Paediatric Forearm Diaphyseal Fracture Surgery

Sağlam¹,

Kurtulmuş²,

Kibar³

et al. 2015

Turk J Bioch

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Amaç: Stabil olmayan çocuk önkol diyafiz çift kırıklarının cerrahisinde, kırık redüksiyonu her iki kemiği açık, her iki kemiği kapalı ve bir kemiği açık diğeri kapalı yapılan hastaların klinik ve radyolojik sonuçları değerlendirildi. Yöntem: İnstabil önkol 1/4 orta cisim kırığı nedeniyle intramedüller çivileme yöntemiyle tedavi edilen 63 çocuk geriye dönük değerlendirildi. Hastaların 13'üne (Grup A; 3 kız, 10 erkek; ort. yaş 10; dağılım;5-15) her iki kemiğe açık

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Both-Bone Midshaft Forearm Fractures in Children

Cited by 151 publications

References 0 publications

Functional outcome following intramedullary nailing or plate and screw fixation of paediatric diaphyseal forearm fractures: A systematic review

Functional outcome following intramedullary nailing or plate and screw fixation of paediatric diaphyseal forearm fractures: A systematic review

An age- and sex-matched comparative study on both-bone diaphyseal paediatric forearm fracture

The Effect on Clinical and Radiological Results of Open or Closed Reduction in Unstable, Paediatric Forearm Diaphyseal Fracture Surgery

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