Functional outcome of diaphyseal fractures of forearm in children treated with titanium elastic nailing system

Authors

  • Kazi Shahadat Hossain Department of Orthopaedics, Mainamoti Medical College, Cumilla, Bangladesh
  • Abdullah Al Rafi Department of Orthopaedics, Minimal Invasive Care Centre, Cumilla, Bangladesh
  • Qaisur Rabbi Health and Hope Hospital, Dhaka, Bangladesh
  • M. Shoeb Mia Department of Orthopaedics, Mainamoti Medical College, Cumilla, Bangladesh
  • M. Abdur Rouf Kawchar Department of Orthopaedics, Mainamoti Medical College, Cumilla, Bangladesh

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20240934

Keywords:

Functional outcome, Diaphyseal fractures, Forearm, Children, Titanium elastic nailing system, TENS

Abstract

Background: Forearm fractures are common injuries in children, with diaphyseal fractures of the forearm being among the most frequent injuries treated in the pediatric population. This study aimed to assess the functional outcome of diaphyseal fractures of the forearm in children treated with the titanium elastic nailing system.

Methods: This prospective observational study was conducted at the Department of Orthopaedics, Mainamoti Medical College, Cumilla, Bangladesh from January 2020 to December 2022. The study included 67 patients aged 6-15 with diaphyseal forearm fractures treated with the titanium elastic nailing system, selected through purposive sampling. MS Office tools were used for data analysis.

Results: According to the functional outcome criteria described by Price et al., it was observed that in the highest number of patients (86.56%), the functional outcome was excellent, followed by good, fair, and poor outcomes found in 8.96%, 2.99%, and 1.49% of the cases, respectively. As the postoperative complications, the delayed union was found among 4%, and skin infection was found among 3% of cases.

Conclusions: Considering the excellent outcomes and lower complication rate, the titanium elastic nailing system may be considered a very effective and safe treatment method for the management of diaphyseal fractures of the forearm in children.

References

Kasser JR. Forearm fractures. Instr Course Lect. 1992;41:391-6.

Hedström EM, Svensson O, Bergström U, Michno P. Epidemiology of fractures in children and adolescents. Acta Orthop. 2010;81:148-53.

Cheng JC, Ng BK, Ying SY, Lam PK. A 10-year study of the changes in the pattern and treatment of 6493 fractures. J Paediatr Orthop. 1999;19(3):344-50.

Creasman C, Zaleske DJ, Ehrlich MG. Analyzing forearm fractures in children: the more subtle signs of impending problems. Clin Orthop Relat Res. 1984;188:40-53.

Daruwalla JS. A study of radioulnar movements following fractures of the forearm in children. Clin Orthop Relat Res. 1979;139:114-20.

Fuller DJ, McCullough CJ. Malunited fracture of the forearm in children. J Bone Joint Surg Br. 1982;64:364-7.

Smith VA, Goodman HJ, Strongwater A, Smith B. Treatment of paediatric both bone forearm fractures: a comparision of operative techniques. J Pediatr Orthop. 2005;25:309-13.

Shoemaker S, Comstock C, Mubarak S, Wenger DR, Chambers HG. Intramedullary Kirschner wire fixation of open or unstable forearm fractures in children. J Paediatr Orthop. 1999;19:329-37.

Calder PR, Achan P, Barry M. Diaphyseal forearm fractures in children treated with intramedullary fixation: outcome of K-wires versus elastic stable intramedullary nail. Injury. 2003;34(1):278-82.

Reinhardt KR, Feldman DS, Green DW, Sala DA, Widmann RF, Scher DM. Comparison of intramedullary nailing to plating for both bone forearm fractures in older children. J Pediatr Orthop. 2008;28:403-9.

Shah AS, Lesnaik BP, Wolter TD, Caird MS, Farley FA, Vander KL. Stabilization of adolescent both bone forearm fractures: a comparision of intramedullary nailing versus open reduction and internal fixation. J Ortop Trauma. 2010;24:440-7.

Price CT, Scott DS, Kurzner ME, Flynn JC. Malunited forearm fractures in children. J Pediatr Orthop. 1990;10:705-12.

Kapila R, Sharma R, Chugh A, Goyal M. Evaluation of Clinical Outcomes of Management of Pediatric Both Bone Forearm Fractures Using the Titanium Elastic Nailing System: A Prospective Study of 50 Cases. J Orthop Traumatol Rehabil. 2020;12:134-7.

Goyal D, Sharma SL, Meena L, Lamoria R, Bansal M. Functional outcome of diaphyseal fractures of forearm in adolescents treated with TENS. Int J Sci Rep. 2019;5(3):69-74.

Somisetty T, Seenappa H, Kumar KV. Evaluation of the Functional Outcome of Both Bone Forearm Fractures in the Pediatric Population with the Titanium Elastic Nailing System in a Tertiary Care Center. Cureus. 2023;15(5):e38747.

Celebi L, Muratli HH, Doğan O, Yağmurlu MF, Akşahin E, Biçimoğlu A. The results of intramedullary nailing in children who developed re-displacement during cast treatment of both-bone forearm fractures. Acta Orthop Traumatol Turc. 2007;41:175-82.

Parajuli NP, Shrestha D, Dhoju D, Dhakal GR, Shrestha R, Sharma V. Intramedullary nailing for paediatric diaphyseal forearm bone fracture. Kathmandu Univ Med J. 2011;9:198-202.

Lamay BK, Dhar RN, Misra A. A study on clinical outcome of management of diaphyseal forearm fractures in children using titanium elastic nailing system and conservative management by plaster cast. Ann Int Med Den Res. 2020;6(5):16-8.

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Published

2024-04-06

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Original Research Articles