PMID: 18716434Aug 22, 2008Paper

Surgical management of unstable both-bone forearm fractures in children

Acta orthopaedica et traumatologica turcica
Ufuk OzkayaSami Sökücü

Abstract

We evaluated the results of two different surgical methods for the treatment of unstable both-bone forearm fractures in children. Thirty-five children with unstable both-bone forearm fractures were retrospectively evaluated. Of these, 14 patients (group 1; 4 girls, 10 boys; mean age 13 years; range 10 to 15 years) underwent open reduction and plate-screw fixation, and 21 patients (group 2; 5 girls, 16 boys; mean age 11.5 years; range 8 to 13 years) underwent closed reduction and intramedullary fixation. All the fractures in group 1 were closed, while, in group 2, there were 15 closed and six type 1 open fractures. The mean time to surgery was 4.3 days in group 1, and 3.1 days in group 2. The results were assessed using the criteria of Price et al. The mean follow-up was 34 months in group 1, and 37 months in group 2. Nonunion was observed in only one patient in group 1. The mean time to union was 7.2 weeks (range 6 to 11 weeks) in group 1, and 6.5 weeks (range 6 to 10 weeks) in group 2. According to the criteria of Price et al., the results in group 1 were perfect in 11 patients (78.6%), good in two patients (14.3%), and fair in one patient (7.1%). In group 2, 18 patients (85.7%) had excellent, three patients (14.3%) had good r...Continue Reading

Citations

Jun 7, 2014·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Jeremy TruntzerBryan G Vopat
Oct 19, 2016·The Journal of the American Academy of Orthopaedic Surgeons·James Lee Pace

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