Surgical Treatment of Diaphyseal Fractures of Both Forearm Bones in Adolescents

Kong,  Gyu Min; Suh,  Byoung Ho; Kim,  Sung Hwan; Jeagal,  Mid Um

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Original Article

Journal of the Korean Society for Surgery of the Hand 2011;16(4):198-203.
Published online December 30, 2011.

Surgical Treatment of Diaphyseal Fractures of Both Forearm Bones in Adolescents

Gyu Min Kong, Byoung Ho Suh, Sung Hwan Kim, Mid Um Jeagal

Department of Orthopedic Surgery, Sunlin Hospital, Pohang, Korea. docos@naver.com

Received: 29 August 2011 • Revised: 9 November 2011 • Accepted: 18 November 2011

Abstract

Purpose
To evaluate the results of surgical treatment for diaphyseal fractures of both forearm bones in adolescents. MATERIALS AND METHODS: Between March 2005 and February 2009, fifteen adolescents with diaphyseal fractures in both forearm bones were treated with a compression plate for the ulnar fractures and intramedullary pin fixation for the radial fractures. They were clinically and radiologically evaluated retrospectively.

Results
The mean time for radiological bone union was 9.2 weeks. At the last follow up, the rotational deformity and angulation were within seven degrees and evaluations of the functional results were excellent in all cases. One patient had a refracture of the ulna after plate removal, which was treated with a long-arm cast.

Conclusion
The use of a compression plate for the ulnar fractures and intramedullary pin fixation for the radial fractures can be an effective method for unstable displaced diaphyseal fractures of both forearm bones in adolescents.

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