Effectiveness of Hybrid Fixation in the Treatment of Proximal Diaphyseal Both Bone Forearm Fractures in Adolescents.

IF 1.1 4区医学 Q3 ORTHOPEDICS Indian Journal of Orthopaedics Pub Date : 2024-12-20 eCollection Date: 2025-02-01 DOI:10.1007/s43465-024-01300-6

Mohamed Abdelhamed Romeih, Abdullah Khaled

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Abstract

Background: Pediatric diaphyseal both-bone forearm fractures are one of the most prevalent fractures in orthopedic practice.

Purpose of the study: To assess the anatomical and functional outcomes of hybrid fixation (radius nailing and ulna plating) in treating closed proximal radius and ulna fractures in adolescents.

Methods: This prospective cohort study was performed on 41 patients between the ages of 10 and 16 years, both sexes, with recent trauma (less than 2 weeks) suffering from closed proximal diaphyseal radius and ulna fractures. Functional outcomes were assessed according to the price score grading criteria, along with the radiological assessment of the union.

Results: Regarding Price score grading, 28 (68.29%) cases had an excellent function, 8 (19.51%) had a good function, 3 (7.32%) had a fair function, and 2 (4.88%) cases had a poor function. The mean union time was 7.41 ± 2.65 weeks. Four patients complained of prominent hardware, three cases developed neuropraxia resolved, and two cases had nonunion of both bones and one of them had nail migration.

Conclusion: The hybrid fixation technique could be effectively used in the treatment of adolescent proximal both-bone forearm fractures.

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混合固定治疗青少年前臂近端双骨骨折的疗效观察。

背景：儿童前臂骨干骨折是骨科实践中最常见的骨折之一。目的：评价混合固定（桡骨钉+尺骨钢板）治疗青少年闭合性桡骨近端和尺骨骨折的解剖和功能效果。方法：这项前瞻性队列研究纳入了41例年龄在10 - 16岁之间的患者，男女均有，近期创伤（少于2周），伴有闭合性桡骨骨干近端和尺骨骨折。功能结果根据价格评分分级标准进行评估，同时对关节进行放射学评估。结果：在Price评分分级中，功能优良者28例（68.29%），功能良者8例（19.51%），功能一般者3例（7.32%），功能差者2例（4.88%）。平均愈合时间为7.41±2.65周。4例患者主诉硬体突出，3例神经失用症消退，2例双骨不连，1例甲移位。结论：混合固定技术可有效治疗青少年前臂近端骨折。

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来源期刊

Indian Journal of Orthopaedics ORTHOPEDICS-

CiteScore

1.80

自引率

0.00%

发文量

185

审稿时长

9 months

期刊介绍： IJO welcomes articles that contribute to Orthopaedic knowledge from India and overseas. We publish articles dealing with clinical orthopaedics and basic research in orthopaedic surgery. Articles are accepted only for exclusive publication in the Indian Journal of Orthopaedics. Previously published articles, articles which are in peer-reviewed electronic publications in other journals, are not accepted by the Journal. Published articles and illustrations become the property of the Journal. The copyright remains with the journal. Studies must be carried out in accordance with World Medical Association Declaration of Helsinki.