Operative Treatment of Pediatric Distal Forearm Bothbone Fracture
Journal of the Korean Fracture Society
; : 237-244, 2015.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-63669
Responsible library:
WPRO
ABSTRACT
PURPOSE:
Pediatric patients with distal forearm bothbone fractures of surgical indication were treated with the Kapandji reduction technique for radius and flexible intramedullary nail for ulna at our institution. The purpose of this study is to evaluate clinical and radiological results. MATERIALS ANDMETHODS:
From February 2012 to June 2014, we retrospectively evaluated 16 out of 18 cases with distal forearm bothbone fractures treated with the Kapandji reduction technique for radius and flexible intramedullary nail for ulna with at least 1-year follow-up. The average age at operation was 9.1 years (7-13 years).RESULTS:
Adequate reduction for both radius and ulna was achieved for all cases, and none of the cases showed re-displacement until the last follow-up. Mean 6.6 weeks lapsed until bony union was observed for the radius. For the ulna, the mean was 6.5 weeks. All patients gained full wrist range of motion at the last visit.CONCLUSION:
For pediatric distal forearm bothbone fractures, intrafocal Kapandji reduction and internal fixation with Kirschner wire for radius and reduction and internal fixation with a flexible intramedullary nail for ulna is the technique for handy reduction. Use of this technique can prevent re-displacement during the union process and achieve excellent clinical and radiologic results.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Radius
/
Ulna
/
Wrist
/
Retrospective Studies
/
Follow-Up Studies
/
Range of Motion, Articular
/
Forearm
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Fracture Society
Year:
2015
Document type:
Article