Acta Medica Alanya (Jul 2018)

Comparıson Of Platıng And Tıtanıum Elastıc Naıl Fıxatıon For Surgıcal Treatment Of Pedıatrıc Both-Bone Forearm Fractures

  • Erdinç Genç,
  • İsmet Yalkın Çamurcu,
  • Erdal Eren

DOI
https://doi.org/10.30565/medalanya.364191
Journal volume & issue
Vol. 2, no. 2
pp. 64 – 68

Abstract

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Aim: Plate fixation and titanium elastic nailing are conventional surgical treatment modalities for both-bone forearm fractures in children. The purpose of this study is to assess the functional and radiographic results of these techniques and compare with literature. Patient and Methods: We evaluated data of 36 children retrospectively. Twelve of the patients (group 1; 1 girls, 11 boys, age range 9-15 years) were treated by open reduction plate fixation and 24 of the children (group 2; 3 girls, 21 boys, age range 9-14 years) were treated by closed reduction intramedullary nailing. Mean total time from fracture until the surgery was 4.3 and 6.1 days in group 1 and 2, respectively. We compared the groups according to union duration, the number and the severity of the complications and clinical outcomes according to Price criteria. Results: Mean follow-up duration was 22.0 months in group 1 and 19.7 months in group 2. Mean age was 13.0±1.2 years and 11.7±1.6 years in group 1 and 2, respectively. According to Price criteria, we obtained no poor outcomes in both groups. The rate of excellent outcome was 75% and 87.5 % in group 1 and 2, respectively. Union was obtained in 7.6 weeks and 6.7 weeks in group 1 and 2, respectively; this difference was statistically significant (p<0.001). The rate of major complication was 8.3% in group 1. There were none in group 2. Conclusion: According to our results, a favorable technique for pediatric both-bone forearm fractures requiring surgical treatment may be titanium elastic nailing because of better clinical outcomes and fewer and less severe complications.

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