Intramedullary Elastic Nailing Management for Fracture of Forearm Bones in Pediatric Patients

Abstract

Background: Forearm fractures are the third most prevalent in children, accounting for 40% of all fractures in children. Using titanium elastic nailing techniques to fix both fractures of the forearm revealed a lot of benefits.

Objective: This study aimed to determine if elastic nail fracture treatment improves the radiological and clinical outcomes in children.

Patients and methods: 18 patients with fracture shafts of both bones forearm treated with intramedullary elastic nails were studied in Zagazig University Hospital and Sebha medical centre, Sebha, Libya for this prospective clinical trial. Patients returned for follow up visits nearly every 2 weeks following fixation for removal of suture. Then Serial radiographs were made after 2 weeks, 4 weeks, 6 weeks and 12 weeks after surgery. They were evaluated for callus formation and assessment of range of motion and any complications till complete bone healing.

Results: Between 8 and 14 weeks, the average time for union was 10.38 ±1.72 weeks. According to the Price score majority were excellent 77.8%, then good 16.7% and finally fair 5.6%, Only 2 cases 11.1% had complication (Surgical site infection, superficial radial nerve injury, and re-displacement). Complicated cases were significantly associated with road traffic accident and Fair price score. Excellent cases were significantly associated with younger age and shorter union time.

Conclusion: For the treatment of displaced forearm fractures, Elastic Stable Intramedullary Nailing (ESIN) is a safe and effective option for young patients. Effective and definitive therapy of these fractures is still achievable with this less invasive approach. A functional outcome was attained without the need for corrective treatments, angulations, or repeated reductions.