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Pre‐bent elastic stable intramedullary nail fixation for distal radial shaft fractures in children
Authors:Yi‐hua Ge MD  Zhi‐gang Wang MD  Hai‐qing Cai MD  Jie Yang MD  Yun‐lan Xu MD  Yu‐chan Li MD  Yu‐chen Zhang MD  Bo‐chang Chen MD
Institution:Shanghai Children's Medical Center, Medical School of Shanghai, Jiaotong University, Shanghai, China
Abstract:Objective: To investigate the functional and radiographic outcomes of pre‐bent elastic stable intramedullary nail in treatment of distal radial shaft fractures in children. Methods: From January 2006 to December 2008, 18 children with distal radial shaft fracture were treated by close reduction and internal fixation with a pre‐bent elastic stable intramedullary nail. The age range was from 5 years to 15 years, with an average of 9 years and 8 months. The minimum follow‐up was 12 months. Results: All fractures maintained good alignment postoperatively, and 94.4% (17/18) of the patients regained a full range of rotation of the forearm. One patient has limitation of rotation to less than 10°, this had improved by final follow‐up. Complications included soft tissue irritation at the site of nail insertion in one patient and transient scar hypersensitivity in another. Conclusion: Fixation with a pre‐bent elastic stable intramedullary nail is an effective, safe and convenient method for treating distal radial shaft fractures in children.
Keywords:Child  Fracture fixation  Intramedullary  Surgical procedures  minimally invasive
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