Eleven Years Experience in the Operative Management of Pediatric Forearm Fractures

Flynn, John M.; Jones, Kristofer J.; Garner, Matthew R.; Goebel, Jennifer

doi:10.1097/bpo.0b013e3181d98f2c

Cited by 202 publications

(254 citation statements)

References 29 publications

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“…How much malreduction is acceptable has always been a matter of great debate. As mentioned in literature, angular deformity >10° and complete displacement account for unacceptable reduction [6,12]. Also, younger children tend to tolerate greater deformity much better than older ones due to better remodelling potential [1,[13][14][15].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Clinical Outcomes of Management of Paediatric Bone Forearm Fractures using Titanium Elastic Nailing System: A Prospective Study of 50 Cases

Kapila¹

2016

JCDR

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Section: Discussionmentioning

confidence: 99%

Evaluation of Clinical Outcomes of Management of Paediatric Bone Forearm Fractures using Titanium Elastic Nailing System: A Prospective Study of 50 Cases

Kapila¹

2016

JCDR

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“…To minimize angular deformity, maintain anatomical position, and preserve rotation of forearm, operative management has become increasingly popular for pediatric diaphysis forearm fractures. [4,13] Our study showed a significant high proportion (93.3%, N=60, p<0.001) of male children with both bone fracture of forearm. This may be due to the fact that male children are more involved in outdoor and playful activities like climbing trees.…”

Section: Discussionmentioning

confidence: 98%

“…Similarly, another study by Flynn JM. et al [13] reported excellent outcome in 77.7%, and another by Parajuli NP. et al [19] reported excellent outcomes in 94% of patients.…”

Section: Discussionmentioning

confidence: 99%

“…Flynn JM. et al [13] reported 14.6% overall complication rate among patients undergoing intramedullary nailing. The most common complication occurred in their series were skin irritation by hard ware, infection, pin back out, delayed union, and compartment syndrome.…”

Section: Discussionmentioning

confidence: 99%

“…We used rush pin, as used by several other authors, [7,13,14,17,18] instead of titanium elastic nail because of cost factor. Our objective of this study was to asses functional outcome of cases treated by intramedullary rush pins.…”

Section: Discussionmentioning

confidence: 99%

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Functional Outcome of Intramedullary Nailing with Rush Pin for Pediatric Both Bone Fractures of Forearm in Western Hilly Nepal

Shrestha¹,

Byanjankar

Dwivedi³

et al. 2017

J Lumbini Med Coll

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Introduction: Both bone diaphysis fracture of forearm is common in children of hilly area in Nepal because the children climbs tree and cliff for playing and cutting grass. Close reduction and casting is the preferred method of treatment these fractures but the chances of re-displacement is very high. Intramedullary nailing with titanium elastic nails or rush pins is widely accepted these days with good outcome. Titanium nails are popular in western world but is costly whereas rush pins are cheap and are preferred in developing world. The aim of this study was to evaluate the functional outcome of intramedullary rush pin for pediatric both bone fracture of forearm. Methods: In this retrospective, observational study done from 1st of February 2017 to 31st of March 2017, a total of sixty patients with both bone fractures of forearm were treated with intramedullary rush pin and followed up for six months for evaluation of functional outcome. T-test and Chi-square tests were done. Results: Closed reduction and internal fixation was done in 48 (80%) patients. Mean age of the patients was 9.23 year (SD=2.77). Fifty-six (93.3%) patients were male with a significant difference (p<0.001). With price et al. grading system, 49 (81.7%) patients had excellent results, nine (15%) had good and two (3.3%) patients had fair results. There was no major complication. Mean time to implant removal was 24.16 weeks (SD=1.62) from the time of surgery with range of 20 to 28 weeks. Among transverse and oblique fractures, patients with transverse fracture were likely to have better outcome (p=0.04). Conclusion: Intramedullary nailing with rush pin gives excellent to good functional outcome in majority of the cases without major complications at low cost for management of both bone fractures of forearm in children.

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Longitudinal analysis of pediatric distal radius alignment parameters in a cohort of serial radiographs

et al. 2020

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Background Growth in pediatric patients necessitates changes to bony structures throughout the entire body to suit development. Changes in the distal radius during growth are of interest in the pediatric population due to the high incidence of fractures. The purpose of this study was to assess for trends in three radiographic measurements (height of the radial styloid process, radial inclination, ulnar variance) of the distal radius using serial radiographs in subjects aged between 6 and 14 years of age. Materials and Methods Longitudinal radiographs from 68 healthy children (n = 34 males, 34 females) with a minimal of three annual radiographs between 6 and 14 years of age were analyzed. Measurements of height of the radial styloid process, radial inclination, and ulnar variance were performed in each available radiograph. Repeated measures analysis of variance (ANOVA) was performed to measure the association between alignment values and subject age. Results A total of 436 images in 68 subjects were analyzed, comprising a mean of 6.5 ± 2.0 radiographs per subject. Repeated measures ANOVA demonstrated that all measurement variables changed significantly with age (p < .001). Ulnar variance demonstrated the most variability with negative ulnar variance in younger children, and trends towards a more neutral ulnar variance by approximately 7 years in females and 11 years in males, while height of the radial styloid process and radial inclination changed relatively minimally with development. Conclusions In the adolescent age range, ulnar variance, height of the radial styloid process and inclination are all relatively stable and adult parameter values can be used to judge restoration of distal radius alignment.

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Eleven Years Experience in the Operative Management of Pediatric Forearm Fractures

Abstract: Level III, Retrospective Comparative Study.

Cited by 202 publications

References 29 publications

Evaluation of Clinical Outcomes of Management of Paediatric Bone Forearm Fractures using Titanium Elastic Nailing System: A Prospective Study of 50 Cases

Evaluation of Clinical Outcomes of Management of Paediatric Bone Forearm Fractures using Titanium Elastic Nailing System: A Prospective Study of 50 Cases

Functional Outcome of Intramedullary Nailing with Rush Pin for Pediatric Both Bone Fractures of Forearm in Western Hilly Nepal

Longitudinal analysis of pediatric distal radius alignment parameters in a cohort of serial radiographs

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