Abstract

PUIGDEVALL, Miguel et al. Uso de clavos endomedulares flexibles de titanio para el tratamiento de fracturas diafisarias de antebrazo en pacientes pediátricos. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2013, vol.78, n.4, pp.180-183. ISSN 1852-7434.

Background: To evaluate the results of flexible intramedullary nailing for the treatment of pediatric displaced forearm fractures. Methods: We retrospectively evaluated 13 patients (average age 11 years; range 6-15). Radiographically we compare radial length and the amount and location of maximum radial bow between the operate forearm and the contralateral normal side. Functional results compared range of pronosupination between both forearms. Average follow-up was 37 months (range 12-68). Results: The length of the operated radius was 18.1 cm and that of the contralateral normal radius was 18.1 cm (p = 1). The location of maximum radial bow differed significantly between the operated and the contralateral radius (p <0.01). No statistically difference was found in the amount of maximum radial bow between both forearms (p = 0.26). Forearm pronation was 87.7° on the operated side and 88.3° on the contralateral forearm (p = 0.26). Forearm supination was 89.9° and 90.9°, respectively (p = 0.49). Conclusions: The use of flexible intramedullary nailing for the treatment of pediatric displaced forearm fractures gives radiographic and functional results similar to those of the normal contralateral forearm.

Keywords : Fracture; Forearm; Flexible intramedullary nailing; Percutaneous treatment; Children.

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