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.
Keywords
children - forearm injuries - fracture fixation intramedullary - ulna fractures -
radius fractures - bone nails
