Intramedullary nailing versus plate fixation for unstable forearm fractures in children

William L. Van Der Reis, Norman Y. Otsuka, Paul Moroz, Jung Mah

Research output: Contribution to journalArticle

90 Citations (Scopus)

Abstract

The purpose of this study was to compare the clinical and radiographic results of plate and screw fixation with intramedullary nailing for unstable fractures of the radius and ulna in children. We proposed that there was a statistically significant difference in the functional outcome and rate of complications between the two groups of patients. A retrospective analysis of 23 patients who were treated with plate-and-screw fixation and 18 who were treated with intramedullary nailing was performed. The average age was 10 years (range, 5-15). Indications for operative treatment included open fractures, irreducible fractures, and unstable fractures. Excellent results were obtained in 78% of patients in both groups at an average of 12 months after surgery. The functional results, rate of union, and rate of complications were statistically similar for the two groups. Intramedullary fixation allows short operative time, excellent cosmesis, minimal soft- tissue dissection, ease of hardware removal, and early motion after nail removal. Intramedullary fixation may provide a useful alternative for treatment of unstable fractures of the radius and ulna.

Original languageEnglish (US)
Pages (from-to)9-13
Number of pages5
JournalJournal of Pediatric Orthopaedics
Volume18
Issue number1
DOIs
StatePublished - 1998
Externally publishedYes

Fingerprint

Intramedullary Fracture Fixation
Ulna Fractures
Forearm
Radius Fractures
Open Fractures
Operative Time
Nails
Dissection
Therapeutics

Keywords

  • Children
  • Forearm fractures
  • Intramedullary nailing
  • Plate and screws

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Intramedullary nailing versus plate fixation for unstable forearm fractures in children. / Van Der Reis, William L.; Otsuka, Norman Y.; Moroz, Paul; Mah, Jung.

In: Journal of Pediatric Orthopaedics, Vol. 18, No. 1, 1998, p. 9-13.

Research output: Contribution to journalArticle

Van Der Reis, William L. ; Otsuka, Norman Y. ; Moroz, Paul ; Mah, Jung. / Intramedullary nailing versus plate fixation for unstable forearm fractures in children. In: Journal of Pediatric Orthopaedics. 1998 ; Vol. 18, No. 1. pp. 9-13.
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