Nancy nail versus intramedullary-wire fixation of paediatric forearm fractures.
Intramedullary nailing provides effective fracture fixation with satisfactory functional outcome without the risks associated with plating. Unfortunately, elastic stable intramedullary nailing devices are not always available in every hospital. We have examined the outcome of 23 children who underwent intramedullary fracture fixation of one or both forearm diaphyseal fractures in our department. We have compared the outcome of intramedullary Nancy nailing with the use of standard, available K-wires to achieve intramedullary fixation. We have assessed, over a 12-month period, rates of union (100% in both groups), function of the forearm and complication rates. We have found no significant increase in the rates or severity of complications when using K-wires compared with Nancy nails. Both groups had equal excellent functional outcome. We advocate that if elastic stable intramedullary nailing devices are unavailable, a K-wire can be used to achieve three-point compression of a paediatric forearm diaphyseal fracture.
Majed
Addie
A
Department of Trauma and Orthopaedics, St Mary's Hospital NHS Trust, 88 Willow Vale, London, UK. a.majed@doctors.org.uk
Baco
Abdul Moeen
AM
D000293:Adolescent; D001858:Bone Nails; D001864:Bone Wires; D002648:Child; D005260:Female; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D011885:Radius Fractures / Q000601:surgery*; D012189:Retrospective Studies; D014458:Ulna Fractures / Q000601:surgery*