SavedAdd your journal

Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2017 / Cilt: 23 - Sayı: 5

ESIN and K-wire fixation have similar results in pediatric both-bone diaphyseal forearm fractures

Namık ŞAHİN
Yavuz AKALIN
Oğuz TÜRKER
GÜVEN ÖZKAYA
Pages
415–420
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Both elastic stable intramedullary nail and K-wire fixation were effective in stabilizing pediatric diaphyseal forearm fractures

📌 3 Key Takeaways

🎯
Objective & Hypothesis:BACKGROUND: The purpose of this study was to compare short-term radiographic and clinical results of pediatric both-bone diaphyseal forearm fractures treated with intramedullary nail fixation using titanium nails or K-wires.METHODS: This was a prospective comparative trial.
📊
Key Findings & Data:In total, 43 patients with both-bone open or closed forearm fractures who underwent surgical treatment with intramedullary fixation were randomly classified into two groups.
💡
Conclusion & Impact:Both elastic stable intramedullary nail and K-wire fixation were effective in stabilizing pediatric diaphyseal forearm fractures
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

BACKGROUND: The purpose of this study was to compare short-term radiographic and clinical results of pediatric both-bone diaphyseal forearm fractures treated with intramedullary nail fixation using titanium nails or K-wires.METHODS: This was a prospective comparative trial. In total, 43 patients with both-bone open or closed forearm fractures who underwent surgical treatment with intramedullary fixation were randomly classified into two groups. Three patients did not return for the follow-up and were excluded from the study. Twenty of the 40 patients were assigned to the elastic stable intramedullary nail group and 20 were assigned to the K-wire group. Demographic data suggested no difference between the two groups except for the side of injury. Perioperative data and radiological and clinical outcomes were evaluated.RESULTS: The cohort comprised 5 girls and 35 boys whose mean age was 11.60 ± 2.69 years. Except the proportion of patients who were conservatively followed up preoperatively, all perioperative data were similar between the groups. Radiographic and functional results were similar. There were two delayed unions; one pin track infection and one re-fracture.CONCLUSION: Intramedullary fixation of forearm fractures in children with titanium nail or K-wire does not affect radiological and clinical results. Both elastic stable intramedullary nail and K-wire fixation were effective in stabilizing pediatric diaphyseal forearm fractures

🔖

Cite This Article

ŞAHİN, N., AKALIN, Y., TÜRKER, O., ÖZKAYA, G. (2017). ESIN and K-wire fixation have similar results in pediatric both-bone diaphyseal forearm fractures. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 23 - Sayı: 5, 415–420. https://ajindex.com/articles/324804

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Flynn JM, Jones KJ, Garner MR, Goebel J. Eleven years experience in the operative management of pediatric forearm fractures. J Pediatr Orthop 2010;30:313–9
  2. Price CT, Scott DS, Kurzner ME, Flynn JC. Malunited forearm fractures in children. J Pediatr Orthop 1990;10:705–12
  3. Seyfettinoglu F, Duygun F, Kovalak E, Ersan O, Ates B, Ates Y. Assessment of surgical and conservative treatment of forearm fractures: results in juveniles. Ulus Travma Acil Cerrahi Derg 2009;15:371–6
  4. Kay S, Smith C, Oppenheim WL. Both-bone midshaft forearm fractures in children. J Pediatr Orthop 1986;6:306–10
  5. Colaris J, Reijman M, Allema JH, de Vries M, Biter U, Bloem R, et al. Angular malalignment as cause of limitation of forearm rotation: an analysis of prospectively collected data of both-bone forearm fractures in children. Injury 2014;45:955–9
  6. Daruwalla JS. A study of radioulnar movements following fractures of the forearm in children. Clin Orthop Relat Res 1979:114–20
  7. Helenius I, Lamberg TS, Kaariainen S, Impinen A, Pakarinen MP. Operative treatment of fractures in children is increasing. A population-based study from Finland. J Bone Joint Surg Am 2009;91:2612–6
  8. Sinikumpu JJ, Lautamo A, Pokka T, Serlo W. The increasing incidence of paediatric diaphyseal both-bone forearm fractures and their internal fixation during the last decade. Injury 2012;43:362–6
  9. Bae DS. Pediatric distal radius and forearm fractures. J Hand Surg Am 2008;33:1911–23
  10. Patel A, Li L, Anand A. Systematic review: functional outcomes and complications of intramedullary nailing versus plate fixation for bothbone diaphyseal forearm fractures in children. Injury 2014;45:1135– 43
  11. Baldwin K, Morrison MJ, Tomlinson LA, Ramirez R, Flynn JM. Both bone forearm fractures in children and adolescents, which fixation strategy is superior - plates or nails? A systematic review and meta-analysis of observational studies. J Orthop Trauma 2014;28:8–14
  12. Feng Y, Shui X, Wang J, Cai L, Wang G, Hong J. Comparison of hybrid fixation versus dual intramedullary nailing fixation for forearm fractures in older children: Case-control study. Int J Surg 2016;30:7–12
  13. Truntzer J, Vopat ML, Kane PM, Christino MA, Katarincic J, Vopat BG. Forearm diaphyseal fractures in the adolescent population: treatment and management. Eur J Orthop Surg Traumatol 2015;25:201–9
  14. Slongo TF, Audige L. Fracture and dislocation classification compendium for children: the AO pediatric comprehensive classification o