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European Journal of Orthopaedic Surgery & Traumatology

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13-08-2023 | Forearm Fracture | Original Article

An age-matched comparative study on intramedullary nailing and plate fixation of both-bone diaphyseal forearm fracture in adolescents

Authors: Noriko Ishihara, Katsuhiro Tokutake, Yasuhiko Takegami, Yuta Asami, Hiroaki Kumagai, Hideyuki Ota, Yoshihiko Kimura, Kazuma Ohshima, Shiro Imagama

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 1/2024

Abstract

Objective

This study aimed to compare radiological and functional outcomes and complication rates between intramedullary nailing (IMN) and plate fixation for diaphyseal forearm fractures in adolescents via an age-matched analysis.

Methods

Data were collected from medical records at 11 hospitals from 2009 to 2019, and the age-matched study was conducted between IMN and plate fixation. Functional outcomes, radiographic outcomes, and postoperative complication rates were compared.

Results

The IMN group (Group N) and plate fixation group (Group P) each comprised 26 patients after age matching. The mean age after matching was 13.42 years old. Bone maturities at the wrist of the radius and ulna were not significantly different between the two groups (p = 0.764 and p = 1). At the last follow-up period, functional outcomes using the Price criteria were over 90% in both groups, and the rotational range of motion was comparable to that of the healthy side. Over 70% of cases in Group N were performed by closed reduction, and operation time was half that of Group P. Postoperative neurological symptoms and refractures were more common in Group P than in Group N, although not statistically significantly so.

Conclusions

Treatment outcomes for age-matched adolescent diaphyseal forearm fractures were excellent with IMN, as well as with plate fixation in many cases despite fewer complications, better cosmesis, and shorter operative times with IMN. IMN for diaphyseal forearm fractures is a useful treatment option even in adolescents although the indications for the best procedure to perform should be considered depending on individual patient needs.

Level of evidence IV

Multicenter retrospective study.

Available only for authorised users

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Title: An age-matched comparative study on intramedullary nailing and plate fixation of both-bone diaphyseal forearm fracture in adolescents
Authors: Noriko Ishihara
Katsuhiro Tokutake
Yasuhiko Takegami
Yuta Asami
Hiroaki Kumagai
Hideyuki Ota
Yoshihiko Kimura
Kazuma Ohshima
Shiro Imagama
Publication date: 13-08-2023
Publisher: Springer Paris
Keywords: Forearm Fracture
Refracture
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 1/2024
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-023-03679-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

An age-matched comparative study on intramedullary nailing and plate fixation of both-bone diaphyseal forearm fracture in adolescents

Abstract

Objective

Methods

Results

Conclusions

Level of evidence IV

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusions

Level of evidence IV

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