Fixação intramedular flexível para fraturas diafisárias dos ossos do antebraço em crianças

Abstract

Objectives Most of the fractures of the bones of the forearm in children are successfully treated conservatively with closed reduction and casting. The outcomes remain variable and the patients may require additional fracture manipulation or formal surgical intervention due to residual angulations. The present study assesses the radiological and functional outcomes of treating displaced forearm fractures in children with intramedullary flexible titanium elastic nailing. Methods A total of 31 patients aged between 7 and 15 years old with displaced forearm fractures underwent flexible titanium elastic nailing. The patients were followed-up for a mean period of 8.51 months (range: 6–12 months) and were assessed for radiological and functional outcomes. The Price criteria were used to assess the functional outcome. Results Out of 31 patients, 21 patients underwent closed reduction, and 10 required a minimal opening of the fracture site during reduction. A total of 29 patients had excellent results with normal forearm and elbow range of motion (ROM), and 2 patients had good results. In all patients, good radiological union was seen at an average time of 7.9 weeks. Five patients had minor complications, such as skin irritation over the prominent ulnar nail ( n = 2), superficial nail insertion site infection ( n = 2), and backing out of the ulnar nail ( n = 1), requiring early removal. Conclusion Flexible nailing is an efficient application of internal fixation for shaft fractures of both bones of the forearm in children, enabling early mobilization and return to the normal activities of the patients, with low and manageable complications.

Carta ao editor sobre o artigo: Fixação intramedular flexível para fraturas diafisárias dos ossos do antebraço em crianças

“…The article by Acharya et al 1 shows important evidence about the surgical treatment of forearm fractures in children, which is accurate according to recent studies presented here. Flexible intramedullary nailing has shown excellent results, especially in consolidation without damaging the growth plate, return to normal activities and few complications.…”

“…O artigo de Acharya et al 1 mostra evidências importantes sobre o tratamento cirúrgico das fraturas do antebraço em crianças, o que é preciso de acordo com estudos recentes aqui apresentados. A fixação intramedular flexível mostrou excelentes resultados, principalmente na consolidação sem danificar a placa de crescimento, retorno às atividades normais e poucas complicações.…”