The Application of Open Intramedullary Fixation in the Treatment of Pediatric Radial and Ulnar Shaft Fractures : Journal of Orthopaedic Trauma

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The Application of Open Intramedullary Fixation in the Treatment of Pediatric Radial and Ulnar Shaft Fractures

Kucukkaya, Metin; Kabukcuoglu, Yavuz; Tezer, Mehmet; Eren, Tugrul; Kuzgun, Unal

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Journal of Orthopaedic Trauma 16(5):p 340-344, May 2002.

Abstract

Objectives 

This retrospective review evaluates the efficiency of standard intramedullary Kirschner wires for the treatment of unstable diaphyseal forearm fractures in children.

Design 

Retrospective review.

Setting 

Large teaching and research hospital in Turkey.

Patients 

Thirty-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).

Intervention 

The method of treatment of each forearm fracture was open reduction and intramedullary Kirschner wire fixation using a mini-incision.

Main Outcome Measurements 

Fracture union, growth disturbance of the forearm, and complications were evaluated.

Results 

Union was obtained in all cases except two (6.4 percent). No forearm inequality was observed.

Conclusions 

Intramedullary fixation is a useful technique for unstable shaft fractures of the forearm in children that can not be treated by closed manipulation.

© 2002 Lippincott Williams & Wilkins, Inc.

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