Background: In children and adolescents, both-bone forearm fractures have been one of the most prevalent injuries. When an older child requires operative fixation of a forearm fracture.
Aim of the work: To assess the clinical and radiographic outcomes of hybrid fixation (ulnar plating and elastic stable intramedullary nailing for the radius the optimal method of stabilization is controversial.
Patients and Methods: This randomized controlled trial has been carried out at Bab Al-Sharia (Sayed Galal) university hospital and El Nile hospital. It included 20 adolescent patients who had both-bone forearm diaphyseal fractures. The research lasted from May 2017 to May 2018.
Results: The average age of the cases studied has been 12.87 years, with 15 males (75%) and 5 females (25%), respectively. Union has been accomplished in all patients in the current study. The average radius was 6.2 weeks (6–8 weeks). While for ulna the mean was 8.2 weeks (6-14 weeks) delayed union occurred in 2 cases, complete union was reached at 14 weeks with no obvious cause for this delay. The mean postoperative supination range was 83.75º, while mean pronation was 69.5°. Sixteen patients (80.0%) showed excellent outcomes. 3 patients (15%) showed good outcomes. Only one case (5%) showed fair outcome due to limited forearm rotation range and deep wound infection.
Conclusion: In skeletally immature patients ranging in age from 10 to 16 years, hybrid fixation is an acceptable, safe, and efficient alternative method of treatment.