PMID: 9449094Feb 4, 1998Paper

Intramedullary nailing versus plate fixation for unstable forearm fractures in children

Journal of Pediatric Orthopedics
W L Van der ReisJ Mah

Abstract

The purpose of this study was to compare the clinical and radiographic results of plate and screw fixation with intramedullary nailing for unstable fractures of the radius and ulna in children. We proposed that there was a statistically significant difference in the functional outcome and rate of complications between the two groups of patients. A retrospective analysis of 23 patients who were treated with plate-and-screw fixation and 18 who were treated with intramedullary nailing was performed. The average age was 10 years (range, 5-15). Indications for operative treatment included open fractures, irreducible fractures, and unstable fractures. Excellent results were obtained in 78% of patients in both groups at an average of 12 months after surgery. The functional results, rate of union, and rate of complications were statistically similar for the two groups. Intramedullary fixation allows short operative time, excellent cosmesis, minimal soft-tissue dissection, ease of hardware removal, and early motion after nail removal. Intramedullary fixation may provide a useful alternative for treatment of unstable fractures of the radius and ulna.

References

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Citations

Feb 25, 2011·Surgical and Radiologic Anatomy : SRA·Nima HeidariAnnelie M Weinberg
Mar 27, 2012·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Pim W van EgmondPeter A van Luijt
Feb 16, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Ayman M Ali
May 29, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Sang Ki LeeWon Sik Choy
Apr 17, 2001·BMJ : British Medical Journal·C G Moran, L J Tourret
Apr 1, 2009·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Ewa K StuermerKlaus Michael Stuermer
Dec 14, 2011·The Journal of Hand Surgery·Dan A Zlotolow
Aug 25, 2009·Journal of Children's Orthopaedics·Kar Hao TeohDaniel E Porter
Aug 28, 2014·Journal of Children's Orthopaedics·Alan J HowiesonPeter S Theobald
Aug 29, 2006·Injury·Murat AltayA Yalçin Tabak
Jun 7, 2014·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Jeremy TruntzerBryan G Vopat
Sep 13, 2012·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·A SalonenO Pajulo
Feb 26, 2016·The Journal of International Medical Research·Haoqi CaiHaiqing Cai
Jan 1, 2009·Revista Brasileira De Ortopedia·Helio Jorge Alvachian FernandesFernando Baldy Dos Reis
May 15, 2020·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Marco PassiatoreGiuseppe Taccardo

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