AI Summary & Key Takeaways
AI InsightIn a subjective measure of outcome during follow-up,it was observed that 33 patients (97.06%) were very satisfied and one(2.94%) was satisfied; no patient reported being not satisfied.Conclusion: Since titanium elastic nailing is a safe and effectivemethod of treatment with advantages of easy implantation andremoval as well as excellent cosmetic and functional results, elasticstable intramedullary nailing is the first treatment option that shouldbe considered in pediatric both bone forearm fractures.
📌 3 Key Takeaways
Abstract
Aim: The purpose of this investigation was to present our institutionalexperience of 34 pediatric both bone forearm fractures treated withtitanium elastic intramedullary nails.Methods: Thirty-four patients, who were treated with titanium elasticnail for both bone forearm fractures diagnosis between 2011 and2016, were included in the study. Clinical and radiological evaluationof the patients was retrospectively analyzed.Results: Bone healing process was completed for all patients at amean of 6.6 weeks. The implants were removed at a mean time of9.7 months from the index operation. Complications, including skininfections at the entry side of the nail, were recorded in three (8.82%)patients. These three patients had type 1 open fracture according to theGustilo-Anderson classification and were treated with first generationcephalosporins. In a subjective measure of outcome during follow-up,it was observed that 33 patients (97.06%) were very satisfied and one(2.94%) was satisfied; no patient reported being not satisfied.Conclusion: Since titanium elastic nailing is a safe and effectivemethod of treatment with advantages of easy implantation andremoval as well as excellent cosmetic and functional results, elasticstable intramedullary nailing is the first treatment option that shouldbe considered in pediatric both bone forearm fractures.
Özet
Amaç: Çocuk önkol çift kırıklarının cerrahi tedavisinde elastik intramedüller çivileme uyguladığımız 34 hastanın sonuçlarını değerlendirmektir. Yöntemler: Çalışmaya 2011-2016 yılları arasında önkol çift kemik kırığı tanısı ile titanyum elastik çivi uyguladığımız 34 hasta dahil edildi. Hastaların klinik ve radyolojik takipleri geriye dönük analiz edildi. Bulgular: Hastalarda ortalama kaynama süresi 6,6 haftaydı. İmplantların çıkarılma zamanı ortalama 9,7 aydı. Hastaların üçünde (%8,82) çivi giriş yerinde deri enfeksiyonu tespit edildi. Bu üç hasta Gustillo Anderson sınıflamasına göre tip 1 açık kırık olan hastaydı ve birinci kuşak sefalosporin ile tedavi edildi. Bir hasta dışında tüm hastalarda (%97,06) klinik ve radyolojik olarak Price kriterlerine göre mükemmel sonuç elde edildi. Sonuç: Klinik ve radyolojik sonuçlarının iyi olması, uygulama tekniğinin ve implant çıkartılmasının kolay olması, daha az yumuşak doku hasarına yol açması nedeniyle çocuk önkol çift kırıklarının cerrahi tedavisinde elastik stabil intramedüller çivileme uygulamasının iyi bir seçenek olduğunu düşünüyoruz.