Hamdy, M., Elazab, H., Addosooki, A., Salama, W. (2023). PERCUTANEOUS INTRAMEDULLARY K-WIRES FIXATION OF PEDIATRIC SHAFT BOTH BONE FOREARM FRACTURES. Egyptian Journal of Orthopedic Research, 4(2), 63-70. doi: 10.21608/ejor.2023.346403
Mahmoud Hamdy; Hossam Elazab; Ahmad Addosooki; Wael Salama. "PERCUTANEOUS INTRAMEDULLARY K-WIRES FIXATION OF PEDIATRIC SHAFT BOTH BONE FOREARM FRACTURES". Egyptian Journal of Orthopedic Research, 4, 2, 2023, 63-70. doi: 10.21608/ejor.2023.346403
Hamdy, M., Elazab, H., Addosooki, A., Salama, W. (2023). 'PERCUTANEOUS INTRAMEDULLARY K-WIRES FIXATION OF PEDIATRIC SHAFT BOTH BONE FOREARM FRACTURES', Egyptian Journal of Orthopedic Research, 4(2), pp. 63-70. doi: 10.21608/ejor.2023.346403
Hamdy, M., Elazab, H., Addosooki, A., Salama, W. PERCUTANEOUS INTRAMEDULLARY K-WIRES FIXATION OF PEDIATRIC SHAFT BOTH BONE FOREARM FRACTURES. Egyptian Journal of Orthopedic Research, 2023; 4(2): 63-70. doi: 10.21608/ejor.2023.346403
PERCUTANEOUS INTRAMEDULLARY K-WIRES FIXATION OF PEDIATRIC SHAFT BOTH BONE FOREARM FRACTURES
Orthopedic dept., Faculty of Medicine, Sohag Univ. Hospital, Sohag, Egypt
Abstract
Background: Radius and ulna fractures, or both-bone forearm fractures, are the third most common injuries in children, and diaphyseal forearm fractures are common injuries that represent between 3 and 6 of all pediatric fractures. Approximately 75% to 84% of forearm fractures occur in the distal third with another 15% to 18% in the middle third, while 1% to 7% of cases occur in the proximal third. In addition, midshaft forearm fractures are the most common sites for refracture in children and among the most common sites of pediatric open fractures. Most shaft injuries present no unusual challenges and require nothing more than skillful closed reduction and cast immobilization due to the unique property of the growth potential of the immature skeleton. The most common indications for surgery are failure of closed reduction, open fractures, and fracture instability. Objective: This study's objective is to improve outcome of pediatric both bone forearm fractures using minimally invasive procedure by intramedullary K-wires. Patients and Methods: A prospective study was conducted on sixty children who underwent percutaneous intramedullary K-wires fixation of shaft both bone forearm fractures, at orthopedic and traumatology department of Sohag university hospital. They treated between February 2023 till February 2024 and follow-up for 6 months. Results: According to the Anderson et al. criteria, 90% of the patients were excellent (54 patients), 10% of the patients were satisfactory (6 patients), 0% of the patients were unsatisfactory, and 0% of the patients were failure. Conclusion: K-wires are a good option for fixation of pediatric shaft both bones forearm fractures. All of the patients included in the study experienced complete union over the observation period, and the majority had good range of motion and strength.
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