Closed intramedullary nail application in pediatric forearm shaft fractures of both bones

Abstract

Objectives: Forearm fractures of both bones is commonly encountered in pediatric age group. In this study, we reviewed treatment results of patients who underwent closed intramedullary nail application for this type of fractures. Methods: The study included 34 patients with forearm fractures (mean age 10 years) who were treated and followed-up between January 1998 and November 1999. Initially, closed reduction and casting were attempted at least once in all patients. Intramedullary nailing was performed in all patients. The mean follow-up was 11 months (range 4-18 months). Results: Preoperative radial angulation was 12 to 36 degrees in anteroposterior and from 9 to 46 degrees in lateral plane radiograms. Postoperatively, angulations were 0 to 14 degrees and 0 to 12 degrees in anteroposterior and lateral radiograms, respectively. Three patients exhibited limitation in supination (20, 35, and 45 degrees, respectively). In the remaining patients, wrist range of motion was normal. Conclusion: Closed intramedullary nailing proved successful in the treatment of pediatric forearm fractures of both bones.