Close Reduction and Intramedullary Elastic Nailing in Pediatric Both Bone Forearm Fractures. Clinical and Radiological Results.

Year 2022, Volume: 3 Issue: 1, 11 - 16, 12.03.2022

Zeynel Mert Asfuroğlu , Ahmet Küçük , Nusret Köse

https://doi.org/10.48176/esmj.2022.47

Abstract

Introduction: Intramedullary nailing with titanium elastic nails (TEN) is the most commonly used method in the surgical treatment of pediatric both bone forearm fractures. In the present study, it was aimed to evaluate the clinical and radiological results of patients who underwent closed reduction and intramedullary nailing with TEN.
Methods: The study was planned retrospectively, and a total of 30 (4 girls, 26 boys) patients were included. Demographic characteristics and radiographic findings of the patients were evaluated with archive records. Clinical results were evaluated based on Price criteria.
Results: The mean age of the patients was 10.5 (5-14, sd:1.97) years and the mean follow-up time was 45 (30-86, sd:15.9) months. The mean time to bony union was 6.9 (5-12, sd:1.66) weeks. According to Price criteria, 25 patients had excellent results and 5 patients had good results. Complete union of both radius and ulna bone was achieved in all patients. Skin irritation at the ulna insertion site of TEN developed in three patients, and superficial radial nerve palsy developed in one patient. It was observed that all four patients who developed complications completely recovered at the last control.
Conclusion: According to the results of the present study, closed reduction and intramedullary nailing with TEN is a reliable method with low complication and high success rates in the surgical treatment of pediatric both bone forearm fractures.

Keywords

Pediatric fractures, intramedullary nailing, both bone forearm fractures, titanium elastic nail

Çocuk Önkol Çift Kemik Kırıklarında Kapalı Redüksiyon ve Kanal-içi Elastik Çivileme. Klinik ve Radyolojik Sonuçlar

Abstract

Giriş: Çocuk önkol çift kemik kırıklarının cerrahi tedavisinde titanyum elastik çiviler (TEÇ) ile kanal-içi çivileme en sık kullanılan yöntemdir. Bu çalışmada kapalı redüksiyon ve TEÇ ile kanal-içi çivileme yapılan hastaların klinik ve radyolojik sonuçlarının değerlendirilmesi amaçlandı.
Yöntemler: Çalışma geriye-dönük olarak planlandı ve toplam 30 (4 kız, 26 erkek) hasta dahil edildi. Hastaların demografik özellikleri ve radyografik bulguları arşiv kayıtları ile değerlendirildi. Klinik sonuçlar için Price kriterleri baz alındı.
Bulgular: Hastaların yaş ortalaması 10.5 (5-14, ss:1.97) yıl ve ortalama takip süresi 45 (30-86, ss: 15,9) ay idi. Kaynama süresi ortalaması 6,9 (5-12, ss:1.66) hafta idi. Price kriterlerine göre 25 hastada mükemmel, 5 hastada iyi sonuç mevcut idi. Tüm hastalarda hem radius hem ulna kemiğinde tam kaynama sağlandı. Üç hastada TEÇ’nin ulna giriş yerinde cilt basısı, bir hastada ise yüzeyel radial sinir hasarı gelişti. Komplikasyon gelişen dört hastanın da son kontrolde tamamen iyileştiği gözlendi.
Sonuç: Yapmış olduğumuz bu çalışmanın sonuçlarına göre kapalı redüksiyon ve TEÇ ile kanal-içi çivileme çocuk önkol çift kemik kırıklarının cerrahi tedavisinde düşük komplikasyon ve yüksek başarı oranları ile güvenilir bir yöntemdir.

Keywords

Çocuk kırıkları, kanal-içi çivileme, önkol çift kemik kırıkları, titanyum elastik çivi

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