title: Outcomes assessment of pediatric both-bone forearm fractures treated operatively.
abstract: This study assessed the outcome of pediatric both-bone forearm fractures treated with operative intervention. A retrospective review was conducted of 31 patients treated over a 40-month period. Fifteen patients were treated with flexible intramedullary nailing and 16 treated with open reduction and internal fixation. Average patient age was 11 years (range: 3.8-17.9 years). Operative indications included 2 open fractures and 29 fractures with unacceptable reductions. The intramedullary nailing group had 14 excellent results and 1 good result. The open reduction internal fixation group had 15 excellent results and 1 good result. Overall, 29 (93.5%) of 31 patients had excellent results. Two minor complications occurred in the intramedullary nailing group and none in the open reduction internal fixation group. Although operative intervention in pediatric both-bone forearm fractures is rarely indicated, when necessary, good results can be expected.
authors.affiliation: Dept of Orthopedics and Rehabilitation, The University of Texas Medical Branch, 301 University Blvd, Rt 0165, Galveston, TX 77550-0165, USA.
authors.forename: Kelly D
authors.initials: KD
authors.lastname: Carmichael
authors.forename: Christopher
authors.initials: C
authors.lastname: English
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D005592:Fracture Fixation / Q000379:methods*; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care; D011885:Radius Fractures / Q000601:surgery*; D012189:Retrospective Studies; D014458:Ulna Fractures / Q000601:surgery*