-
Comparative Study
The application of open intramedullary fixation in the treatment of pediatric radial and ulnar shaft fractures.
- Metin Kucukkaya, Yavuz Kabukcuoglu, Mehmet Tezer, Tugrul Eren, and Unal Kuzgun.
- 1st Orthopaedic and Traumatology Department, Sisli Etfal Research and Training Hospital, Istanbul, Turkey.
- J Orthop Trauma. 2002 May 1;16(5):340-4.
ObjectivesThis retrospective review evaluates the efficiency of standard intramedullary Kirschner wires for the treatment of unstable diaphyseal forearm fractures in children.DesignRetrospective review.SettingLarge teaching and research hospital in Turkey.PatientsThirty-one patients with diaphyseal forearm fractures were treated by surgical method between 1988 and 1998. The mean age was 12.3 years (range 7 to 17 years). The mean follow-up period was 4.2 years (1 to 6.2 years).InterventionThe method of treatment of each forearm fracture was open reduction and intramedullary Kirschner wire fixation using a mini-incision.Main Outcome MeasurementsFracture union, growth disturbance of the forearm, and complications were evaluated.ResultsUnion was obtained in all cases except two (6.4 percent). No forearm inequality was observed.ConclusionsIntramedullary fixation is a useful technique for unstable shaft fractures of the forearm in children that can not be treated by closed manipulation.
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