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Revista Medica Herediana

Print version ISSN 1018-130XOn-line version ISSN 1729-214X

Abstract

VERA ROSAS, Francisco; MANCILLA MANCILLA, Luis  and  ALANIA CHAVEZ, Paúl. Treatment of forearm shaft fractures in children by elastic stable intramedullary nail. Rev Med Hered [online]. 2009, vol.20, n.3, pp.151-155. ISSN 1018-130X.

Objective: To evaluate the surgical treatment of radius or ulna shaft fractures by molded intramedullary Kirschner wire in paediatric patients. Material and methods: Descriptive observational study of patients treated with intramedullary nailing of forearm diaphyeal fractures al the Hospital Nacional Cayetano Heredia. We used Kirschner wires molded acording to ESIN specifications, evaluating the surgical technique, time of consolidation, complications, and functional results. Results: We evaluated 12 patients, 10 male and 2 females, with average age of 13.7 years and evidence of consolidation in six weeks. Operative time averaged 75 minutes. One patient presented ulnar nerve paresthesias that improved in four months, little blood less with a minimally invasive approach, 78 % of all fractures healed with good functional outcome. Conclusion: The use of Kirshner molding wires is an alternative treatment in this type of fractures due its low cost and results comparables with the ESIN that is the treatment of choice. (Rev Med Hered 2009;20:151-155).

Keywords : ESIN; forearm fractures children; intramedullary nail.

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