title: Radius-only intramedullary nailing for both-bones diaphyseal forearm fractures in children.
abstract: Both-bones diaphyseal forearm fractures are common injuries in the paediatric age group and are potentially unstable. Both-bones intramedullary nailing for these fractures is a minimally invasive procedure that maintains alignment, and promotes rapid bony healing. Good results have also been shown with single-bone fixation. We report our experience in treating these common injuries with radius-only intramedullary nailing in 29 children. The clinical notes and radiographs were reviewed retrospectively. There were 9 girls and 20 boys; the mean age at the time of operation was 9 years (range: 5 to 17 years). Closed reduction was achieved in 21 patients, while eight patients required open reduction. Mean duration of follow-up was 6.8 months (range: 4 to 12 months). All fractures achieved clinical and radiological union at 6-8 weeks. Radius-only intramedullary nailing is a sufficient and effective option in treating both bones paediatric forearm displaced unstable type AO 22-A3 fractures, with excellent functional outcome and union rates.
authors.affiliation: Department of Trauma and Orthopaedics, University Hospital of North Tees, Stockton-on-Tees, United Kingdom. alnaib@gmail.com
authors.forename: Mustafa
authors.initials: M
authors.lastname: Alnaib
authors.forename: Razvan
authors.initials: R
authors.lastname: Taranu
authors.forename: Sandesh
authors.initials: S
authors.lastname: Lakkol
authors.forename: Ehab
authors.initials: E
authors.lastname: Aldlyami
authors.forename: Ilhan
authors.initials: I
authors.lastname: Alcelik
authors.forename: Christopher
authors.initials: C
authors.lastname: Tulloch
mesh_terms: D000293:Adolescent; D002648:Child; D018483:Diaphyses / Q000293:injuries* / Q000601:surgery; D005260:Female; D005543:Forearm Injuries / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary; D005596:Fractures, Closed / Q000601:surgery; D005597:Fractures, Open / Q000601:surgery; D006801:Humans; D008297:Male; D011885:Radius Fractures / Q000601:surgery*; D014458:Ulna Fractures / Q000601:surgery*