A Study of Results of Conservative and Operative Methods of Treatment of Diaphyseal Fractures of the Forearm in Children

Dr. Kushal Parikh; Dr. Niravkumar P. Moradiya

Volume : VII, Issue : XI, November - 2018

A Study of Results of Conservative and Operative Methods of Treatment of Diaphyseal Fractures of the Forearm in Children

Dr. Kushal Parikh, Dr. Niravkumar P. Moradiya

Abstract :

Diaphyseal fracture of forearm is one of the common paediatric upper limb fracture encountered in orthopaedic practice. This prospective study consists of 50 paediatric patients and was conducted at tertiary care hospital. Closed reduction and POP application, open reduction and internal fixation with plates and screws, closed reduction and internal fixation with intramedullary nails were the different modes of treatment. Most of the cases had 22A3 type of fracture, 4 cases each had 22B3 and 22A2 type of fracture and one case each had 22A1 and 22C3 type of fracture. 33 cases were treated by CR + POP application. CR+IF with Plates were used in 11 patients and intramedullary nail fixation was done in 6 patients. In the treatment of forearm fractures by CR + POP application, out of 33 patients 28 patients had excellent results, 3 patients had good results and 2 patients had fair result. Out of 11patients treated with Plates & Screws, 10 patients had excellent results and 1 patient had a poor result. Out of 6 patients treated with intramedullary nails, 4 patents had excellent results, 2 patients had good results. No significant association was observed between treatment and results. Majority of the complications like Displacement, Refracture angulation & malrotation were seen in CR + POP application. But most of them improved in the course of the treatment due to remodeling property in children. Superficial & deep infection cases (1 each) were seen in cases treated with OR+IF with plates & screws. No significant association was observed between treatment and complication.

We concluded majority of both bone fractures of forearm in children can be managed conservatively by closed reduction and above elbow cast. Those cases which could not be managed by closed means may require operative treatment.