Comparative study between radius only intramedullary nailing and both bone nailing in both-bone diaphyseal forearm fracture in children /
مقارنة بين تثبيت عظمة الكعبرة فقط و تثبيت عظمتى الكعبرة و الزند معا بواسطة الاسلاك النخاعية فى كسور عظمتى الساعد فى الاطفال
Emad Ahmed Ahmed Abdelati ; Supervised Yasser Abdelfattah Radwan , Ayman Mahmoud Mansour , Ayman Abdelsamee Shaheen
- Cairo : Emad Ahmed Ahmed Abdelati , 2017
- 112 P. : facsimiles ; 25cm
Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Orthopedic Surgery
Background: Both-bones diaphyseal forearm fractures are common injuries in the paediatric age group and are potentially unstable. Both-bones intramedullary nailing for these fractures is a minimally invasive procedure that maintains alignment, and promotes rapid bony healing. Good results have also been shown with single-bone fixation. Aim: The purpose of this study was to evaluate and compare the outcome of radius only and both-bone intra-medullary fixation of diaphyseal forearm fracture in skeletally immature children using elastic stable intramedullary nails (ESIN). Methods: We prospectively analyzed 30 children with both-bone forearm fractures treated with ESIN. Fifteen patients were treated with single-ESIN to fixate the radius only (Group A), and the other Fifteen patients were treated with double-ESIN to fixate the radius and ulna (Group B ). The duration of surgery, times of fluoroscopy, union time, radiographic outcomes, clinical results, and postoperative complications were compared. Results: The duration of surgery, times of fluoroscopy, and complication rate were significantly lower in the radius only fixation group (Group A). There was no difference in the loss of forearm motion and union time between the 2 groups. Conclusion: Radius only fixation with flexible intramedullary nails is a suitable treatment method for paediatric diaphyseal both-bone forearm fractures, with results comparable to both-bone fixations. It seems to be safe and effective in the management of both bone forearm fractures in children between 4 and 14 years of age
Children Elastic stable intramedullary nailing Forearm fractures