Assessment of Radiographic and Functional Outcomes of Flexible Intramedullary (IM) Nailing in Adolescent Patients with Forearm Fractures: A Clinical Study
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 5
Abstract
Introduction: There are various methods of management of fractures in both bones of forearm in children. Historically, closed reduction and plaster cast application has been the gold standard in management of these fractures, however there are increased chances of re-displacement, particularly in older children. Aim of the study was to assess clinical outcomes of flexible intramedullary nailing in adolescent patients with forearm fractures. Material and methods: The study was performed in the Department of Orthopedics of the Medical institute. A total of 18 patients with age ranging between 10-16 years of age with a both-bone forearm fracture that was planned to treat with IM nailing were selected for the study. The subjects were evaluated of their preoperative and follow-up anteroposterior (AP) and lateral radiographic views of forearm Radiographic measurements were obtained using a pencil and goniometer and it included angulation of the fracture site, percentage translation of the distal fragment, and location of the ulnar fracture in relation to the radius. Results: There were 18 patients included in the study. The mean age of the patients was 12.34 years. The number of male patients was 11 and number of female patients was 7. We observed that the union of fractured bones at 3 months was seen in 50% patients; whereas, bony union at 6 months was seen in 72.3% patients. Loss of forearm rotation was seen in 22.22% patients. The complications seen were in 3 and 2 patients, that were both major and minor respectively. Conclusion: We conclude that Intramedullary nailing of forearm fractures in adolescent patients is an equally very efficacious treatment as compared to plate and screw fixation.
Authors and Affiliations
Devesh Bandil, Megha Gupta Bandil
Keywords
Related Articles
- EP ID EP430908
- DOI -
- Views 99
- Downloads 0
Photodynamic Therapy - A New Ray of Hope in Periodontics
Microbial biofilm in the oral cavity is the primary etiology for periodontal disease. It has been found that the growth of bacteria in dental plaque biofilm imparts to them an increased resistance to antimicrobial agents...
Plasma Fibrinogen Levels in Rheumatoid Arthritis
Introduction: Rheumatoid arthritis [RA] is a chronic systemic disease that primarily targets synovium, leading to synovial inflammation and proliferation. Inflammatory joint disorder has increased cardiovascular disease...
Picmonic and Mnemonic Strategies: Valuable Teaching-Learning Aids to Enhance Learning and Memory in the Subject of Pharmacology
Introduction: Medical curricula, especially the subject content of Pharmacology is very exhaustive and as the years go by, additional drugs are bound to come into the market. It is increasingly becoming difficult for med...
Clinical and Functional Impairment in Pulmonary Function of Non- Smoking Women Exposed to Biomass Fuel During Cooking and it’s Co-relation with Biomass – Index
Introduction: Exposure to pollutants emitted from combustion of biomass fuel during cooking still remains a major global threat to public health, particularly among women living in under developed countries., Objectives:...
Extended Spectrum β Lactamase Producing Lactose Fermenters Causing Neonatal Septicaemia in a Tertiary Care Center in Uttar Pradesh
Introduction: Extended-spectrum Beta-lactamase (ESBL) producing enterobacteriaceae are of escalating concern in today’s antibiotic era especially in neonatal sepsis. This study was conducted to determine the prevalence o...