Abstract

Objective To evaluate the clinical outcomes of treating pediatric forearm both bone fractures with single bone elastic intramedullary nailing (EIN) fixation.Methods A retrospective analysis was conducted of 24 cases of forearm both bone fractures treated with EIN fixation of single bone from January 2008 to December 2012.There were 15 boys and 9 girls with a median age of 9.6 years (range,6 to 13 years).The bone with more obvious fracture displacement was fixed with the EIN.The radius was fixed in 16 cases while in the other 8 cases the ulna was fixed.All had a course of immobilization with long arm cast for 4 weeks.Fracture healing time was determined by X-rays.Forearm functions were evaluated using Price criteria.Results Twenty-one cases were follow-up for 8.4 months (range,6 to 14 months) postoperatively.Three cases were lost to follow-up.All fractures healed.According to the Price criteria,the results were rated as excellent in 14 cases and good in 7 cases.Skin irritation around the nail was found in 2 patients.There were no infections,nonunions,maltmions,or neurovascular injuries.Conclusion Single-bone intramedullary nailing fixation is a minimally invasive and effective treatment for pediatric forearm both bone fractures. Key words: Child; Ulna fractures; Radius fractures; Intramedullary fixation

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