Abstract

Background: Pediatric forearm fractures result in substantial morbidity andcosts. Despite the success of public health efforts in the prevention of other injuries, the incidenceof pediatric forearm fractures is increasing. Most forearm fractures occurred during the springseason. Objective of the study is to determine the functional outcome of conservatively treatedradius ulna fractures in Children. Design: Descriptive study. Setting: Department of Orthopedicsand Traumatology, Khyber Teaching Hospital Peshawar. Period: March 2009 to April 2010.Methodology: Total 236 children with radius ulna fractures were manipulated and above elbowplaster Cast applied for 6-8 weeks and reviewed every second week. After plaster cast removalPronation and supination measured with goniometer and fortnightly thereafter for 6 weeks.Results: All the fractures united. Normal range of pronation and supination at the end of followsup period was in 182(80.53%) children. Loss of pronation and supination of average 10 degreeswere in 9(3.98%) patients. Patients having displacement of the fracture and opted for surgerywere 35(15.46%). Conclusions: Closed reduction of diaphyseal fractures in children results innormal pronation and Supination in majority of the patients.

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