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Corresponding Author

Ibrahim, Haitham

Document Type

Original Article

Abstract

Background: Forearm fractures are the most prevalent kind of fracture in children, accounting for 13 to 40% of all fractures. After distal radial fractures and supracondylar humeral fractures. Aim of the Work: The purpose of the study was to assess the outcomes of conservative and percutaneous pinning for the management of diaphyseal fractures of the radius and ulna in youngsters. Patients and Methods: Thirty patients aged 5 to 12 years old with closed displacement fractures of the shaft of both forearm bones were separated into two groups in this research at Al Azhar University Hospital and El Talaba Hospital. A total of 15 children in Group A were managed conservatively with closed reduction and immobilization in an above-elbow cast. A total of 15 children in Group B were managed with closed reduction and percutaneous intramedullary k-wires. Results: Complications encountered were loss of primary reduction (6.7% of group A patients), Superficial pin site infection (33% of group B patients), refracture after removal of cast (6.7% of group A patients), and post cast edema (20% of group A). Both groups showed equal rate of complications. Conclusion: According to this research, displaced diaphysis of the radius and ulna fractures in children under the age of 8 or 9 years old can be managed with closed methods, whereas displaced fractures of both forearm bones in older children are preferred to be intramedullary fixed with K-wires with excellent outcomes.

Keywords

Anteroposterior; Kirschner wire; Interosseous Membrane; Proximal radioulnar joint

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