The Effect on Clinical and Radiological Results of Open or Closed Reduction in Unstable Paediatric Forearm Diaphyseal Fracture Surgery

İngilizce (OpenAlex)

OBJECTIVE: Clinical and radiological results were evaluated of surgery to paediatric unstable forearm diaphyseal double-bone fractures, treated as both bones open, both bones closed and one open, one closed.METHODS: 63 children treated with intramedullar nailing for an unstable forearm mid 1/4 fracture were retrospectively evaluated. Group A comprised 3 females, 10 males mean age 10 years and underwent open reduction on both bones. Group B comprised 4 females, 23 males mean age 11 years and underwent closed reduction on both bones. Group C comprised 3 females, 20 male mean age 11 years, and underwent open reduction on one bone and closed reduction on the other. The Gustilo-Anderson classification showed 15 patients Type 1 and 2 patients Type 2 open fractures. Mean time to surgery was 4, 2, 2 days for Groups A,B, C. K-wires were used on all patients. Fixation was applied to both the radius and ulna. Mean follow-up periods were 38, 34, 39 months for Groups A, B, C. RESULTS: Union was achieved on mean Day 47, 45, 46 in Groups A,B, C. Nails were removed on mean Day 53, 82 and 67 respectively. No statistically significant difference was determined between the groups in terms of age, time to surgery, nail removal and follow-up period, gender, side, etiology or complications p>0.05 . No significant complications developed.CONCLUSION: In intramedullar fixation of paediatric unstable forearm diaphyseal fractures with K-wire, open or closed fracture reduction showed no statistical effect on the functional and radiological results.