Paediatric forearm refractures with retained plates managed with flexible intramedullary nails.

Injury

UHL, Trauma & Ortho, Lewisham High Street, Lewisham, London SE13 6LH, United Kingdom.

Published: August 2007

AI Article Synopsis

  • The study discusses the management of four pediatric patients who experienced forearm refractures linked to retained surgical plates from earlier fractures.
  • Unlike typical cases usually reported, which involve either closed treatment or removal of metal hardware, the authors applied a new approach.
  • They addressed the refractures by removing the plates and stabilizing the bones using elastic stable intramedullary nails, a method not previously documented for this specific complication.

Article Abstract

During the past 18 months we have managed four paediatric patients who have sustained forearm refractures associated with retained plates that were used to treat their original fracture. Although this complication is not new, most literature regarding paediatric forearm refracture relates to refractures that occur after closed treatment or after removal of metalwork. We treated the patients in this small series with plate removal and intramedullary stabilisation using elastic stable intramedullary nails (Nancy, Depuy, UK) as opposed to revision plating. Treatment of this complication by this method has not previously been described.

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Source
http://dx.doi.org/10.1016/j.injury.2006.10.029DOI Listing

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