Pediatric Forearm Bone Fractures Treated with Flexible Intramedullary Nail

Suk Kyu Choo; Jin Hwan Kim; Hyung Keun Oh; Dong Hyun Kim

doi:10.12671/jkfs.2007.20.2.190

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Choo, Kim, Oh, and Kim: Pediatric Forearm Bone Fractures Treated with Flexible Intramedullary Nail

Original Article

Journal of the Korean Fracture Society 2007; 20(2): 190-195.

Published online: 14 June 2016

DOI: https://doi.org/10.12671/jkfs.2007.20.2.190

Pediatric Forearm Bone Fractures Treated with Flexible Intramedullary Nail

Suk Kyu Choo, M.D., Jin Hwan Kim, M.D., Hyung Keun Oh, M.D., Dong Hyun Kim, M.D.

Department of Orthopaedic Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.

Address reprint requests to: Jin Hwan Kim, M.D. Department of Orthopedic Surgery, Ilsan Paik Hospital, Inje University College of Medicine, 2240, Daehwa-dong, Ilsan-seo-gu, Goyang 411- 706, Korea. Tel: 82-31-910-7330, Fax: 82-31-910-7967, kimjh@ilsanpaik.ac.kr

Abstract

Purpose

To determine the usefulness of flexible intramedullary fixation in pediatric forearm diaphyseal fractures.

Materials and Methods

We reviewed 22 cases of forearm diaphyseal fractures treated with flexible intramedullary nail and K-wire. The radiographic assessment was based on the time to union, maintenance of reduction and angular deformity. The functional outcome was assessed with the range of motion and complications at last follow up.

Results

Average length of follow up was 13.9 months with mean age of 10.8 years and the time to union was 5.2 weeks. There were no angular deformity and fuctional results were excellent in all cases. There were 5 cases of soft tissue irritation of nail insertion site as post operative complication which was resolved after nail removal.

Conclusion

Flexible intramedullary for pediatric forearm bone fractures is an effective and safe method which gives a good functional outcome.

Keywords: Pediatric forearm bone fracture, Intramedullary fixation

Figures and Tables

Fig. 1

(A) 12-year old male sustain a displaced diaphyseal forearm fracture.

(B) Flexible intramedullary nailing is done with satisfactory union and alignment.

Fig. 2

(A-1) 9-years old male with both forearm bone fracture is treated by closed reduction and casting.

(A-2) Refracture is occured at the initial fracture site by slip down.

(B) AP and lateral radiographs show a good alignment after flexible intramedullary nailing.

Fig. 3

(A) 13-years old female is treated with long arm casting for 2 months The radiographs show malalignment and displacement of forearm bones in the cast due to loss of reduction.

(B) Closed reduction and internal fixation with flexible intramedullary nailing is done with satisfactory alignment.

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