COMPARATIVE STUDY USING INTRAMEDULLARY K-WIRE FIXATION OVER TITANIUM ELASTIC NAIL IN PEDIATRIC BOTH BONE FOREARM FRACTURES

Document Type : Preliminary preprint short reports of original research

Authors

1 Department of orthopaedic surgery,faculty of medicine, Alexandria university

2 Department of Orthopedic Surgery, Faculty of Medicine, Alexandria University

Abstract

Forearm fractures are common pediatric injuries accounting for 45% of all fractures and 62% of all upper limbfractures.
The goal of treatment of forearm and distal radius injuries is to facilitate union of the fracture in a position that restores functional range of motion to the elbow and forearm.
Most of the pediatric both-bone forearm fractures can be managed conservatively. Un-displaced fractures can be safely treated in cast. Maintaining acceptable reduction is not always possible and re-displacement during cast treatment may occur in pediatric forearm fractures.
Treatment alternatives of irreducible and unstable pediatric forearm fractures are closed re-manipulation under general anesthesia and casting, Kirchner wire and casting, closed or mini open reduction and intramedullary fixation, open reduction and internal fixation with plates.
In this study we compared between two intramedullary devices used in fixation of both-bones forearm fractures in pediatrics either kirshner wires or flexible nails.
THE AIM OF THE WORK:
The aim of this work was to compare the results of intramedullary fixation of forearm fractures in children by elastic stable intramedullary nails and intramedullary k-wires.

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