Online ISSN: 2515-8260

Author : AzeimHamed, Ahmed Hashem Amin, Riad Mansour Megahed, Fahmy Samir Fahmy, Ahmed Hassan Abd El


Results of Medullary Fixation of Fracture of Forearm Bones in Children by K-Wires

Ahmed Hashem Amin, Riad Mansour Megahed, Fahmy Samir Fahmy, Ahmed Hassan Abd El AzeimHamed

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 2780-2788

Background:More than 90% of forearm fractures in children are treated
conservatively with good results. Therefore, it is very important to recognize those
fractures that cannot be successfully treatedconservatively.Operative management
includeeither intramedullary fixation or plates and screws fixation.The aim of the
present study was to evaluate short term results of intramedullary fixation for
management of diaphyseal forearm fractures in children.Patients and
methods:prospective study included 30 skeletally immature patients with forearm
fractures who were treated by intramedullary k wires. In all patients, a detailed
motor and sensory examination of the ulnar, radial, and median nerves was done to
exclude associated nerve injury. Patients were followed up for 6 months.Results:
The mean age of was 9.53 ± 2.2years, with the youngest being 6 years and the oldest
14 years. The distribution of the gender in the current study was 25 males (83.3%)
and 5 females (16.7%). Regarding the mechanism of trauma; majority of our studied
cases (93.3%) bones forearm fractures resulting from falling on outstretched hand
(FOOSH), one patient (3.3%) was resulting from road traffic accidents (RTA) and
one patient (3.3%) was resulting from directtrauma. Twenty eight patients were
right-handed and 2 patients were left handed. The Right side was affected in 22
patients (73.3%) and the left side was affected in 8 patients (26.7%). Majority of
fractured bones were middle 1/3 fracture, while five cases were lower 1/3 fracture
and only 2 cases were proximal 1/3 fracture.Two cases only had open fracture
(6.7%) while the majority of cases had closed fracture (93.3%).Days from injury to
operation was ranged from (0) to (5) days with an average of (1.97 ±1.79) days.
Majority of our studied cases underwent open reduction (86.79%) while only 4
cases (13.3%) underwent closed reduction of the fractured bones. The patients were
assessed three months post operatively using the Outcome Grading System. Twenty
two cases (73.3%) showed excellent outcome. Eight cases (26.7%) showed good
outcome. No cases with fair or poor outcomes. Conclusion:Intramedullary
nailsseems to be safe, more easily not expensive and effective in the management of
both bone forearm fractures in children between 4 and 14 years of age.