Elastic Stable Intramedullary Nailing in Forearm Shaft Fractures in Children: 85 Cases

J Pediatr Orthop · 1990 · Classic · cited 303 times

P. Lascombes, J. Prevot, J. N. Ligier, J.-P. Métaizeau, T. Poncelet

Department of Paediatric Orthopaedic Surgery, Children's Hospital, Vandoeuvre-Les-Nancy, France

Pediatric Orthopaedics Orthopaedic Trauma Hand & Upper Extremity

SUMMARY — THE REDUCTIONElastic stable intramedullary nailing achieved 92% excellent results with full motion in pediatric forearm fractures, especially in children >10 years old.
Abstract, as published

The results of elastic stable intramedullary nailing (ESIN) of 85 forearm fractures in children are reported. A single curved nail was inserted into each forearm bone with closed reduction. Immediate mobilization was allowed postoperatively. In a 3 year 6 month follow-up of 76 patients, 92% had excellent results with a full range of movement. There were neither nonunions nor infections. ESIN is recommended in the treatment of displaced forearm fractures in children older than 10 years of age, and in younger children when conservative treatment fails.

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