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
Further Information

Publication History

Publication Date:
27 June 2006 (online)


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.