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346403

PERCUTANEOUS INTRAMEDULLARY K-WIRES FIXATION OF PEDIATRIC SHAFT BOTH BONE FOREARM FRACTURES

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Last updated: 28 Dec 2024

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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.

DOI

10.21608/ejor.2023.346403

Keywords

Fracture fixation, intramedullary, Fracture forearm

Authors

First Name

Mahmoud

Last Name

Hamdy

MiddleName

-

Affiliation

Orthopedic dept., Faculty of Medicine, Sohag Univ. Hospital, Sohag, Egypt

Email

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City

-

Orcid

-

First Name

Hossam

Last Name

Elazab

MiddleName

-

Affiliation

Orthopedic dept., Faculty of Medicine, Sohag Univ. Hospital, Sohag, Egypt

Email

-

City

-

Orcid

-

First Name

Ahmad

Last Name

Addosooki

MiddleName

-

Affiliation

Orthopedic dept., Faculty of Medicine, Sohag Univ. Hospital, Sohag, Egypt

Email

-

City

-

Orcid

-

First Name

Wael

Last Name

Salama

MiddleName

-

Affiliation

Orthopedic dept., Faculty of Medicine, Sohag Univ. Hospital, Sohag, Egypt

Email

waeladel582@gmail.com

City

-

Orcid

-

Volume

4

Article Issue

2

Related Issue

46716

Issue Date

2023-12-01

Receive Date

2023-05-10

Publish Date

2023-12-01

Page Start

63

Page End

70

Print ISSN

2682-4744

Online ISSN

2314-6710

Article File

EJOR_Volume 4_Issue 2_Pages 63-70.pdf

PDF . 501.2kB

Link

https://ejor.journals.ekb.eg/article_346403.html

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https://ejor.journals.ekb.eg/service?article_code=346403

Order

4

Type

Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations

Type Code

1,828

Publication Type

Journal

Publication Title

Egyptian Journal of Orthopedic Research

Publication Link

https://ejor.journals.ekb.eg/

MainTitle

PERCUTANEOUS INTRAMEDULLARY K-WIRES FIXATION OF PEDIATRIC SHAFT BOTH BONE FOREARM FRACTURES

Details

Type

Article

Created At

28 Dec 2024