Elastic intramedullary nailing in the management of forearm fractures in children: A clinical study
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2018, Vol 4, Issue 3
Abstract
Introduction Forearm fractures are the most prevalent in childhood and adolescence and correspond to between 30 and 50 of all lesions that affect the immature skeleton Successful treatment of fracture shafts of Radius and Ulna must aim at restoring full function of pronation and supination without which full use of hand is not possible With conservative treatment there are increased chances of redisplacement leading to high rates of failure Intramedullary fixation is an attractive option because of short operative time excellent cosmesis minimal softtissue dissection ease of hardware removal and early motionMaterials and Methods This was a prospective study of 32 children of forearm fractures treated by elastic intramedullary nailing and their outcome The study was conducted in the Department of Orthopaedics Hindu Rao Hospital Delhi in between March 2015 to April 2016 Forearm fractures of all children admitted through Emergency Department and Out Patient Department were included in the study Their functional results were analysed using Price et al criteriaResultsMajority of patients were males accounting to 7812 n25 Male to Female ratio was 361 Mean age of patients was 94 years with standard deviation SD of 19 Fall during play accounted to majority of the cases 8125 n26 Majority of the patients in this study had fractures on the left side accounting to 625 n20 Left Right ratio was 53 Majority of the patients in this study had fracture both bone forearm 22A3 accounting for 5312 n17 In majority of the patients intraoperative reduction was achieved by closed means 875 n28 while open reduction was required in 125 n 4ConclusionClosed intramedullary fixation is a biological method of fixation with less damage to the muscles and the periosteum the fracture hematoma is intact thus leading to early bridging callus formation The undisturbed surrounding muscles and soft tissues help in spontaneous post operative correction of slight angular deviation All the cases in this study went on to unite with no incidence of non union The functional outcome was found to be excellent in majority of the patients KeywordsRadius and ulna fracture Elastic intramedullary nail Price et al score AO classification
Authors and Affiliations
Apser Khan, Syed Ifthekar, Vinod Anand
Keywords
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- EP ID EP476634
- DOI 10.18231/2395-1362.2018.0045
- Views 110
- Downloads 0
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