A novel surgical technique for direct fixation of bony mallet finger with K-wires.

We present a novel surgical technique for avoiding joint surface injury by directly immobilizing the bone mass fracture fragment with K-wires sparing the joint.

[Delayed union or nonunion of the ulna after intramedullary nailing for pediatric forearm fractures].

Objective: To analyze the causes of delayed union or nonunion of the ulna after intramedullary nailing in pediatric forearm fractures.

Methods: From February 2005 to February 2010,5 patients with forearm fractures who were treated with titanium elastic nailing (TEN) were identified to fulfill the criteria of having developed a delayed union or nonunion of the ulna. The causes of delayed union or nonunion were investigated according to mechanism of injury, fracture location, treatments methods and postoperative management.

Comparison of Pediatric Forearm Fracture Fixation Between Single- and Double-Elastic Stable Intramedullary Nailing.

The purpose of this study was to evaluate and compare the outcome of single- and double-elastic stable intramedullary nailing (ESIN) for the treatment of pediatric both-bone forearm fractures. We retrospectively analyzed 49 children with both-bone forearm fractures treated with ESIN. Twenty-four patients were treated with single-ESIN (S-ESIN) to fixate the radius only, and the other 25 patients were treated with double-ESIN (D-ESIN) to fixate the radius and ulna.