[Stable elastic nailing applied to diaphyseal fractures of the forearm in children].
Elastic stable intramedullary nailing is the ideal internal fixation in children; the technique is not aggressive and the physiological periosteal consolidation is respected. This treatment is complementary to the conservative approach. The authors report their experience in 20 patients, aged 4 to 17 years. Primary instability (16 cases) and repeated fractures (3 cases) were the main indications. The operative technique is described. Open reduction was necessary for one or both forearm bones in 9 children. There were technical problems, but without consequences for the consolidation, which was always complete after 2 1/2 months, without cast immobilization. In all patients, the function was normal after 2 months. There were no serious complications. The fixation material should not be removed during the first postoperative year, in order to prevent refractures.
Toussaint
D
D
Département d'Orthopédie-Traumatologie, Hôpital de Braine-l'Alleud, Waterloo, Belgique.
Vanderlinden
C
C
Bremen
J
J
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D005594:Fracture Fixation, Intramedullary; D006801:Humans; D008297:Male; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D014458:Ulna Fractures / Q000000981:diagnostic imaging / Q000601:surgery*
L'enclouage élastique stable appliqué aux fractures diaphysaires de l'avant-bras chez l'enfant.