Elastic stable intramedullary nailing in pediatric diaphyseal forearm bone fracture

Authors

  • Poojan Kumar Rokaya Department of Orthopedics and Trauma Surgery, Karnali Academy of Health Sciences, Jumla, Karnali, Nepal
  • Mangal Rawal Department of Orthopedics and Trauma Surgery, Karnali Academy of Health Sciences, Jumla, Karnali, Nepal
  • Javed Ahmad Khan Department of Orthopedics and Trauma Surgery, Karnali Academy of Health Sciences, Jumla, Karnali, Nepal
  • Praveen Kumar Giri Department of Orthopedics and Trauma Surgery, Karnali Academy of Health Sciences, Jumla, Karnali, Nepal

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20170455

Keywords:

Elastic intramedullary nailing, Forearm, Fracture, Complication

Abstract

Background: Pediatric forearm bone fracture present significant challenges where most of them are managed with closed reduction and casting. Irreducible, unstable and open fracture usually requires operative stabilization. Intramedullary nailing is considered minimal invasive however it is not free of complication. The aim of this study is to analyze the outcome and complications after elastic stable intramedullary nailing in pediatric diaphyseal forearm fracture.

Methods: A descriptive observational study was carried out for four years (2013-2016) in diaphyseal pediatric forearm fracture stabilized with titanium elastic stable intramedullary nailing. Final range of motion, complications and outcome were assessed using Clavien-Dindo classification modification appropriate for orthopedic surgery.

Results: We report the outcome of 36 patients with complete medical records. Closed reduction and nailing was successful in 25 patients (69.4%) whereas eleven patients (30.6%) required open reduction (both radius and ulna in 6 patients 16.7%, ulna in 3 patients 8.3% and radius in 2 patients 5.6%). Radiological union was achieved at an average of 7.75±1.5 weeks (range 6 to 16 weeks). Forearm rotation was limited in 7 patients with average loss of 16° pronation and 18° supination. The overall rate of complication was 22.2%. According to Clavien-Dindo classification excellent results were noted in 29 patients (80.6%), good in 3 patients (8.3%) and fair in 4 patients (11.1%).

Conclusions: Elastic intramedullary nailing in pediatric diaphyseal forearm bones fracture is minimally invasive with low rate of complication and the outcomes are fair to excellent.

Author Biography

Poojan Kumar Rokaya, Department of Orthopedics and Trauma Surgery, Karnali Academy of Health Sciences, Jumla, Karnali, Nepal

lecturer

department of orthopedics and trauma surgery

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Published

2017-02-22

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Original Research Articles