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Corresponding Author

Mahmoud Ahmed Mohamed Ahmed

Document Type

Original Article

Abstract

Background: Diaphyseal fractures of both bones in the forearms are amongst the most prevalent fractures in children, making up anywhere from 13 to 40 percent of all pediatric fractures.

Aim and objectives: To evaluate pediatric diaphyseal fracture fixation outcomes using k-wires compared with elastic intramedullary nails.

Patients and methods: This was a prospective randomized control trial carried out on twenty children with diaphyseal both bone forearm fractures at Bab Al-Sharia (Sayed Galal) university hospital & Abo Khalifa Hospital: 10 fractures were fixed by K-wires, and elastic nails fixed other ten fractures.

Results: There was no statically significant variance among k-wires & Elastic intramedullary nails concerning delayed union & time of union with (p-value=0.305 & 0.415) correspondingly. There was no significant difference between k-wires and Elastic intramedullary nails concerning complications & complications Type. Considerable variations among the K-wires group and intramedullary elastic nails regarding operative time were higher in the intramedullary elastic nails than in the K-wires group.

Conclusion: Intramedullary fixation is a sound method of surgery for the stabilization of diaphyseal forearm fractures in children who require surgery. Utilizing either K-wires or Nancy nailing can yield excellent findings. Theoretically, k-wires offer advantages, but in our study, they weren't found to enhance outcomes significantly.

Keywords

Elastic Intramedullary Nail; K. Wires; Fracture; Both-Bone Forearm

Subject Area

Orthopedics

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