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Orthopedic Trauma Directions 2006; 4(3): 1-7
DOI: 10.1055/s-2006-944253
Clinical topic
© Georg Thieme Verlag Stuttgart · New York

Both-bone forearm fractures in children

Intramedullary nailing versus open reduction with plate fixation
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Publication History

Publication Date:
27 June 2006 (online)

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Summary

Two small retrospective cohort studies shed little light on whether intramedullary (IM) nailing or open reduction internal fixation (ORIF) with plate fixation is more effective in treating both-bone forearm fractures in children. Nonunion and delayed union rates varied between studies for each treatment. Overall complication rates for the IM nailing group ranged from 22% in one study to 43% in another, while in the ORIF group, the complication rate was 33% in both studies. Better studies with larger samples are needed to determine which treatment option is optimal.