Nancy nailing of diaphyseal forearm fractures

Abstract

We identified 25 children (10 girls and 15 boys) who had been treated with single bone intramedullary fixation for diaphyseal fractures of both forearm bones. Their mean age was 10.75 years (4.6 to 15.9). All had a good functional outcome. We conclude that in selected children, single bone intramedullary nailing is a suitable method of treatment for diaphyseal fractures of both bones of the forearm.The most common fractures in children seen in the Accident and Emergency department involve the arm. Distal (epiphyseal and metaphyseal) radial fractures are the most common followed by supracondylar humeral fractures. Diaphyseal fractures of the forearm account for approximately 13% of all paediatric fractures.

Single Bone Fixation versus Both Bone Fixation for Pediatric Unstable Forearm Fractures: A Systematic Review and Metaanalysis

“…One published Cochrane study protocol failed to meet the authors’ study inclusion criteria. There were 5 retrospective level-III studies with control groups 17 20 21 22 23 24 and one prospective randomized control trial (RCT) [ Table 1 ]. 18 …”

“…Stability was defined as no loss of reduction when the forearm was screened using fluoroscopy through the full range of pronation. 20 21 …”

Low complication rate of elastic stable intramedullary nailing (ESIN) of pediatric forearm fractures

“…[1,13,21–23] A wide range of complication rates between 15% and even 67% for intramedullary fixation is reported in the literature. [15,16] Flynn and Waters [24] reported a rate of 14.6%, Smith et al reported a rate of 42%, [25] whereas Shah et al [26] reported no complications after intramedullary nailing and Antabak et al [27] a rate of 25% in 88 children.…”

New Nailing System Used in Open Diaphyseal Fractures

“…Newer studies are emerging which demonstrate comparable results to plate osteosynthesis after treatment with intramedullary nails [10,11]. WICK, et al [11].…”