Percutaneous fixation of fractures of forearm bones in children

Background: Forearm fractures are the most common fractures in children, representing 40 to 50 percent of all childhood fractures. The aim of this work is to evaluate the results of percutaneous intramedullary fixation of fractures of forearm bones in children. The aim of this work is to evaluate the results of percutaneous intramedullary fixation of fractures of forearm bones in children. Methods: Between February 2017 and February 2018, 12 patients who are younger than the age of closure of epiphysis exhibited to Zagazig General Hospital suffering from displaced fractures of shaft of both bones of the forearm, all patients were treated by closed reduction and percutaneous intramedullary fixation by K-wires with a period of (6 - 12) month with mean 6.6 moths follow up. Results: At the end of follow up, the operations were succeeding in all cases. According to Price et al criteria, 8 patients (66.7%) were classified as excellent results, 4 patients (33.3%) were classified as good results and no patients were classified as fair or poor results. No complication detected after the end of follow up period.Conclusions: Closed reduction percutaneous intramedullary fixation of pediatric displaced diaphyseal forearm fractures by K-wires is a safe, reliable, minimally invasive procedure and effective method of treatment. Based upon this study, it is concluded that displaced fractures of both forearm bones in children are preferred to be intramedullary fixed with K-wires when surgery is indicated with excellent and good results

Swollen Forearm in an 11 year Old Nigerian Boy

The diagnostic challenges in an 11 year old boy with a swollen forearm in a resource limited country; Nigeria; is discussed; with a brief review of literature of the causes of forearm swelling in a child and vascular malformations. This case is presented because of the rarity of arteriovenous malformation and the difficulty in making a diagnosis due to its low level of suspicion as a differential diagnosis. In this country where there is paucity of vascular surgeons; the challenges of management of arteriovenous malformations and the various imaging modalities are discussed

Les fractures diaphysaires des os de l'avant-bras chez l'enfant : Aspects epidemiologique et therapeutique dans le service de chirurgie pediatrique du CHU de Yopougon

Dans l'optique d'evaluer la prise en charge therapeutique des fractures diaphysaires des os de l'avant bras chez l'enfant; nous avons mene une etude au service de chirurgie pediatrique du CHU de Yopougon. Il s'agit d'une etude retro prospective de 69 fractures diaphysaire des os de l'avant bras sur une periode de 39 mois allant du 1er janvier 2000 jusqu'au 31 mars 2004. Au terme de notre etude; il ressort que ces fractures comme partout ailleurs se situent parmi les lesions traumatiques les plus frequentes de l'enfance. L'age de survenue de ces lesions se situe entre 13 mois et 15 ans avec une nette predominance masculine. La chute de leur hauteur chez ces enfants; s'est averee etre le facteur le plus incrimine dans les circonstances de survenue de ces fractures. Les deux os etaient le plus souvent atteints. La repartition diaphysaire moyenne etait la plus frequente. Les lesions vasculo nerveuses ont ete rares. Le traitement a ete orthopedique dans la majorite des cas. L'approche orthopedique malgre les difficultes du milieu donne de bons resultats rendant le traitement chirurgical exceptionnel. Ceci rejoint l'opinion de bon nombre d'auteurs concernant le traitement des fractures diaphysaires des os de l'avant bras chez l'enfant

Interet du traitement chirurgical des fractures de l'avant bras

Ce document presente l'interet du traitement chirurgical des fractures de l'avant bras a l'Hopital de Kati de 1990 a 1994 a propos de 8 cas dont 5 adultes et 3 enfants

Holt-Oram syndrome in a Ghanaian infant

A female infant with Holt-Oram syndrome of skeletal and cardiovascular anomalies is described