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Article Detail
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Management of the Fractures of the Radius and the Ulna in Children
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| Author:
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, , DR. ALI TAHA HASSAN AL-AZZAWI
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| Abstract:
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In this study (80) children with diaphyseal fractures of the radius and ulna were treated in Al-Hussein Teaching Hospital in Samawa city at the period from 1/6/2019 to 1/6/2020. (56) males and (24) females, the mean age 9.4 (±4.181), the patients examined regarding their age, sex, mechanism of action, side of fracture, bone involvement, type of fracture and the site of fractures. All the patients sent for anteroposterior and lateral plain x-ray of the forearm, elbow joint and wrist joint, and measurement of the angulation of the fracture and shortening of the bones were studied. The patients treated according to the standard criteria of angulation of fracture and shortening of the bones conservatively (60%), (22.5%) of the cases treated with casting only while (37.5%) of them treated with closed reduction and casting with muscle relaxation and sedation, or haematoma block or general anesthesia, the remaining patients (40%) were treated surgically either with intramedullary nails (31.25%), or with plate and screws (8.75%) according to the standard criteria of the age, angulation of the fracture and the shortening of the bones. The patients were followed clinically and radiologically one week after the treatment, then every two weeks for three to six months. The intramedullary nails is the method of choice in operative treatment of diaphyseal fractures of the Radius and Ulna because of decreased surgical dissection, retention of biologic factors at the fracture site, insertion of implants via percutaneous techniques, the relative ease of insertion (with experience) safe, less invasive, cosmetically better, has short hospital stay and lower risk of stiffness and complications. The time of immobilization and union were evaluated. The outcome of treatment was evaluated whether excellent, good, fair and poor results and compared with acceptable criteria of angulation of fractures and shortening of the bones, the outcome results were correlated with that standard criteria, so these standard criteria are useful and beneficial in treatment of these fractures. The complications of these fractures were studied such as delay union, non-union, synostosis, elbow stiffness, superficial wound infection, hypoesthesia at the area of superficial radial nerve, re-fractures, myositis ossificans, compartment syndrome and limitation of pronation and supination.
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| Keyword:
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surgical dissection, radiology, ulna.
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| EOI:
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-
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| DOI:
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https://doi.org/10.31838/ijpr/2020.12.02.364
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| Download:
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