Author(s): Harish K and Chethankumar R

Abstract: Background: Both bone fracture in skeletally immature patients is one of the most common fracture. This is a prospective study on functional outcome of both bone forearm fractures fixed with titanium elastic nailing system in pediatric age group. Methods: In this study all the patients aged below 15 years of age who were admitted during the period of 2014 to 2017 in a tertiary care centre for surgical intervention for diaphyseal fracture of both bone forearm. In 42 patients admitted 27 patients were selected for the study depending on the inclusion and exclusion criteria. All patients were operated under general anesthesia and followed up for minimum period of 6 months. Functional outcome of these patients was noted by price et al criteria. Results: The study included 27 pediatric patients of both bone forearm fractures that were operated. In 27 children 8 were female and 19 were male. Mean age of patients 10.2 years range 4-15 years. Average union time was about 10.5 weeks with no incidence of nonunion. Complication such as superficial infection at the entry point even though present incidence were low. Based on Price et al., criteria functional outcome was calculated which showed excellent results in 20 (74%) patients, good in 5 (19%), fair in 2(7%) and no poor results. Conclusion: Both bone forearm fractures in pediatric age group in quite challenging fracture to treat because these fractures are associated with angulations, rotation and displacement. Titanium elastic nails are provides exceptional mode of fixation providing superior union rates, promoting early callus formation and provides early functional recovery.

DOI: https://doi.org/10.33545/orthor.2018.v2.i1a.34