Flexible Intramedullary Titanium Elastic Nailing of Fracture Shaft of Radius and Ulna in Children at a Tertiary Care Teaching Hospital

Introduction: Displaced fracture shaft of both bone forearms in children can still managed with close reduction and cast application. If, it has failed or remain inadequately reduced after closed reduction require intramedullary fixation to achieve functional outcome. This study assesses the functional outcome of treating displaced fracture shaft of both bone forearm in children with intramedullary flexible titanium elastic nailing.

Method: 79 children aged 3 to 15 years with displaced fracture of shaft of both bone forearm underwent flexible titanium elastic nail. The patients were followed up for a period of 12 months.

Results: Close reduction followed by nailing was possible in 71 patients, while 8 patients required open reduction through mini incision of both the radius and ulna fracture prior to nailing. 74 patients had excellent results and 5 patients had good results. 13 patients had minor complications including skin irritations over prominent hardware, superficial nail insertion site infection were noted in our study. 2 patients had a restriction of 20° of pronation and 10° of supination, 2 patients restriction of 15° of pronation and 1 patient had 8° volar angulation at the radial bone with limitation of 5° supination. All fractures were united in acceptable alignment by an average 9 weeks and nails were removed at an average of 6 months.

Conclusion: Flexible nailing leads to more versatile and efficient application of internal fixation for fracture shaft of both bone forearm, which permits early mobilization and return to the normal activities of the patients, with very low complication rate.

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