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Flexible intramedullary nailing of displaced diaphyseal forearm fractures in children

Flexible intramedullary nailing of displaced diaphyseal forearm fractures in children
Flexible intramedullary nailing of displaced diaphyseal forearm fractures in children
Introduction: This study analyses the results of 50 displaced diaphyseal forearm fractures in children treated with flexible intramedullary nailing.
Methods: Between 1999 and 2002 we treated 50 children aged between 5 and 15 years, with diaphyseal fractures of the forearm using Flexible intramedullary nailing (FIN). Both bones were fractures in 45 patients, radius only in 4 and ulna only in 1. The indications for fixation were instability (26), re-displacement (20), and open fractures (4).
Results: 24 patients were reduced closed, followed by nailing, while 26 fractures required open reduction of either one bone(16 cases) or both bones(10 cases) prior to nailing. Bony union of all fractures was achieved by an average of 7 weeks (range 6 weeks to 4 months) with one delayed union. Pronation was restricted by an average of 20° in 9 patients. Two patients developed post operative compartment syndrome requiring fasciotomy. Three patients were lost to follow-up.
Interpretation: FIN led to early bony union with acceptable bony alignment in all 47 patients available at final follow-up. We therefore recommend FIN for the treatment of unstable diaphyseal forearm fractures in children.
diaphyseal forearm fractures, paediatric, flexible nailing
0020-1383
1221-1225
Kapoor, V.
2f98691b-2482-4bdb-97fc-e20c54fd8864
Theruvil, B.
1930125e-d73a-44bb-9279-b5d57de83eed
Edwards, S.E.
10485dd7-1a51-42c8-b9c9-8a90dcf6231e
Taylor, G.R.
170ed422-7c0a-4aaa-b999-b5f9b70b3a8d
Clarke, N.M.P.
76688c21-d51e-48fa-a84d-deec66baf8ac
Uglow, M. G.
b6e1c24d-cc09-456c-a593-f44446609b58
Kapoor, V.
2f98691b-2482-4bdb-97fc-e20c54fd8864
Theruvil, B.
1930125e-d73a-44bb-9279-b5d57de83eed
Edwards, S.E.
10485dd7-1a51-42c8-b9c9-8a90dcf6231e
Taylor, G.R.
170ed422-7c0a-4aaa-b999-b5f9b70b3a8d
Clarke, N.M.P.
76688c21-d51e-48fa-a84d-deec66baf8ac
Uglow, M. G.
b6e1c24d-cc09-456c-a593-f44446609b58

Kapoor, V., Theruvil, B., Edwards, S.E., Taylor, G.R., Clarke, N.M.P. and Uglow, M. G. (2005) Flexible intramedullary nailing of displaced diaphyseal forearm fractures in children. Injury, 36 (10), 1221-1225. (doi:10.1016/j.injury.2005.06.033).

Record type: Article

Abstract

Introduction: This study analyses the results of 50 displaced diaphyseal forearm fractures in children treated with flexible intramedullary nailing.
Methods: Between 1999 and 2002 we treated 50 children aged between 5 and 15 years, with diaphyseal fractures of the forearm using Flexible intramedullary nailing (FIN). Both bones were fractures in 45 patients, radius only in 4 and ulna only in 1. The indications for fixation were instability (26), re-displacement (20), and open fractures (4).
Results: 24 patients were reduced closed, followed by nailing, while 26 fractures required open reduction of either one bone(16 cases) or both bones(10 cases) prior to nailing. Bony union of all fractures was achieved by an average of 7 weeks (range 6 weeks to 4 months) with one delayed union. Pronation was restricted by an average of 20° in 9 patients. Two patients developed post operative compartment syndrome requiring fasciotomy. Three patients were lost to follow-up.
Interpretation: FIN led to early bony union with acceptable bony alignment in all 47 patients available at final follow-up. We therefore recommend FIN for the treatment of unstable diaphyseal forearm fractures in children.

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More information

Published date: 2005
Keywords: diaphyseal forearm fractures, paediatric, flexible nailing

Identifiers

Local EPrints ID: 25705
URI: http://eprints.soton.ac.uk/id/eprint/25705
ISSN: 0020-1383
PURE UUID: 38b4c6f9-fa48-4bfc-9eb9-d4afa9d1b742

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Date deposited: 10 Apr 2006
Last modified: 15 Mar 2024 07:04

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Contributors

Author: V. Kapoor
Author: B. Theruvil
Author: S.E. Edwards
Author: G.R. Taylor
Author: N.M.P. Clarke
Author: M. G. Uglow

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