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ESIN and K-wire fixation have similar results in pediatric both-bone diaphyseal forearm fractures
Namık Şahin1, Yavuz Akalın, Oğuz Türker
1Department of Orthopaedics and Traumatology, Medical Sciences University, Konya Training and Research Hospital, Konya-Turkey. sahinnamik@yahoo.com.
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Pediatric forearm fractures treated with titanium nails or K-wires showed similar outcomes. Both elastic stable intramedullary nails and K-wires effectively stabilize these fractures in children.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Traumatology
Background:
- Pediatric diaphyseal forearm fractures require effective stabilization.
- Intramedullary fixation is a common surgical approach.
- Titanium nails and K-wires are utilized for this purpose.
Purpose of the Study:
- To compare short-term radiographic and clinical outcomes.
- To evaluate titanium nails versus K-wires for pediatric forearm fractures.
Main Methods:
- Prospective comparative trial involving 40 pediatric patients.
- Randomized classification into elastic stable intramedullary nail (ESIN) group (20 patients) and K-wire group (20 patients).
- Evaluation of perioperative data, radiological, and clinical outcomes.
Main Results:
- No significant differences in perioperative data, radiographic, or functional results between ESIN and K-wire groups.
- Two cases of delayed union, one pin track infection, and one re-fracture were observed.
- Mean patient age was 11.60 ± 2.69 years, with a male predominance.
Conclusions:
- Intramedullary fixation with titanium nails or K-wires yields comparable radiological and clinical results for pediatric forearm fractures.
- Both ESIN and K-wire fixation are effective for stabilizing pediatric diaphyseal forearm fractures.
Background:
The purpose of this study was to compare short-term radiographic and clinical results of pediatric both-bone diaphyseal forearm fractures treated with intramedullary nail fixation using titanium nails or K-wires.
Methods:
This was a prospective comparative trial. In total, 43 patients with both-bone open or closed forearm fractures who underwent surgical treatment with intramedullary fixation were randomly classified into two groups. Three patients did not return for the follow-up and were excluded from the study. Twenty of the 40 patients were assigned to the elastic stable intramedullary nail group and 20 were assigned to the K-wire group. Demographic data suggested no difference between the two groups except for the side of injury. Perioperative data and radiological and clinical outcomes were evaluated.
Results:
The cohort comprised 5 girls and 35 boys whose mean age was 11.60 ± 2.69 years. Except the proportion of patients who were conservatively followed up preoperatively, all perioperative data were similar between the groups. Radiographic and functional results were similar. There were two delayed unions; one pin track infection and one re-fracture.
Conclusion:
Intramedullary fixation of forearm fractures in children with titanium nail or K-wire does not affect radiological and clinical results. Both elastic stable intramedullary nail and K-wire fixation were effective in stabilizing pediatric diaphyseal forearm fractures.