PMID: 9661851Jul 14, 1998Paper

Intramedullary fixation of unstable both-bone forearm fractures in children

Journal of Pediatric Orthopedics
Scott J LuhmannPerry L Schoenecker

Abstract

A retrospective study was performed to evaluate the results of intramedullary fixation used in the management of unstable, diaphyseal both-bone forearm fractures in skeletally immature patients. Twenty-five patients with 25 fractures were identified whose fracture management included only intramedullary fixation. Galeazzi, Monteggia, radial head, and distal metaphyseal fractures were excluded from this analysis. Mean age at fracture was 10 + 8 years. There were 15 closed and 10 open fractures (eight grade I and two grade II). Smooth Kirschner wires or Rush rods were used for fixation. Average length of immobilization was 8 + 2 weeks; 6 + 2 in a long-arm cast and 2 + 0 weeks in a short-arm cast. All 25 regained normal elbow motion, with 17 regaining full forearm rotation. Eight patients had an average loss of 13 degrees of supination and 9 degrees of pronation. There were four minor and two major complications (one rod migration and one delayed union). No infections, malunions, or synostoses occurred in this patient group. Using the grading scheme adapted by Price there were 21 excellent results (84%), four good (16%), and no fair or poor results. In our experience, intramedullary fixation of the unstable both-bone forearm fract...Continue Reading

References

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Citations

Apr 17, 2001·BMJ : British Medical Journal·C G Moran, L J Tourret
Apr 2, 2011·Journal of Children's Orthopaedics·F F FernandezO Eberhardt
Aug 25, 2009·Journal of Children's Orthopaedics·Kar Hao TeohDaniel E Porter
Dec 17, 2008·The Journal of Hand Surgery·Donald S Bae
Mar 1, 2006·Hand Clinics·Martin J Herman, Silas T Marshall
Nov 25, 2004·Injury·R MittalP A Templeton
Aug 29, 2006·Injury·Murat AltayA Yalçin Tabak
Jun 7, 2014·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Jeremy TruntzerBryan G Vopat
Sep 24, 2013·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·J-J SinikumpuJ Merikanto
Nov 11, 2011·The Cochrane Database of Systematic Reviews·Alwyn AbrahamTalal Ibrahim

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