FUNCTIONAL OUTCOME OF DISPLACED AND UNSTABLE DIAPHYSEAL FRACTURES OF BOTH BONES OF FOREARM IN CHILDREN TREATED WITH INTRAMEDULLARY KIRSCHNER WIRE FIXATION.

Abstract

Introduction Diaphyseal fractures of forearm are very common in children. 90% of the fractures can be managed with closed reduction and cast immobilisation. Surgical intervention is needed in displaced, unstable fractures to prevent angulation and rotation deformity. This work is done to analyse the Functional outcome of displaced and unstable diaphyseal fracture of both bones of forearm in children treated with intramedullary kirschner wire fixation in Department of Orthopaedics, Adichunchanagiri institute of Medical Sciences,B G Nagara, Mandya. In ou Method r series of 30 cases there were 22 males and 8 females, maximum age of 12 years and minimum age of 3 years with mean age of 8.63 years. Fracture reduction and fixation were done with closed reduction and percutaneous nailing or mini open reduction and intramedullary fixation. Our average union time was 8.6 weeks and average kirschner wire removal time was 12.23 weeks. Patients were closely monitored for compartment syndrome and osteomyelitis. Th Results e functional outcome based on Price criteria was excellent in 83.3% (25) of cases, good in 10% (3) of cases and fair in 6.7% (20 of cases. There was no case with poor outcome. 2 patients had refracure other 5 patients had minor complication (pin tract infection(3 cases) , superficial radial nerve injury(1 case) and delayed union(1 case). From this study we consider that intramedullary kirschner wire fixation for unstable and displaced diaphyseal fracture of both bones of forearm in children is an excellent treatment modality. 1.Treatment of displaced and unstable diaphyseal fract Conclusion ures of the both bone forearm with Kirschner wires is an effective method of maintaining reduction 2.This is simple for fracture fixation with preservation of fracture haematoma. 3.Shorter period of surgery with minimal exposure . 4.Minimum invasive surgery with minimum expertise.