Paediatric forearm refractures with retained plates managed with flexible intramedullary nails.
During the past 18 months we have managed four paediatric patients who have sustained forearm refractures associated with retained plates that were used to treat their original fracture. Although this complication is not new, most literature regarding paediatric forearm refracture relates to refractures that occur after closed treatment or after removal of metalwork. We treated the patients in this small series with plate removal and intramedullary stabilisation using elastic stable intramedullary nails (Nancy, Depuy, UK) as opposed to revision plating. Treatment of this complication by this method has not previously been described.
McLean
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C
UHL, Trauma & Ortho, Lewisham High Street, Lewisham, London SE13 6LH, United Kingdom. chrismclean@supanet.com
Adlington
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H
Houshian
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S
D000293:Adolescent; D001860:Bone Plates / Q000009:adverse effects*; D002648:Child; D020878:Device Removal; D005260:Female; D005543:Forearm Injuries / Q000209:etiology / Q000601:surgery; D005593:Fracture Fixation, Internal / Q000009:adverse effects*; D005594:Fracture Fixation, Intramedullary; D017102:Fracture Healing; D006801:Humans; D008297:Male; D011885:Radius Fractures / Q000209:etiology / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation; D014458:Ulna Fractures / Q000209:etiology / Q000601:surgery*