Failed Closed Reduction of Fracture Forearm Bones in Children The Outcome of K-Wire Fixation


  • Jamal K. Shwayel AL-Saeedi Lecturer, College Of Medicine University Of Thi-Qar


The aim of our study is to know the functional outcome of K.wire fixation for failed closed reduction of displaced forearm bones fracture in children on AL-Hussein teaching hospital of Nassiriyah city between: 1/2/2006 to 30/1/2008.  It is a descriptive study for K.wire fixation of unstable fracture of radius& ulna in children less than 16 years old. The compound fractures, single bone, multiple trauma and adult patients all are excluded from this study. A eighty six (86) children were included, a  sixty two ( 62 ) male & twenty four (24) female with age ranging from ( 4 to 16 ) years, with average age of( 11.21) years. The average time of radiological union and K. wire removal was 6 weeks follow by complete P.O.P cast for the average of 12 weeks to consolidation, then 3monthly follow up with physiotherapy and functional assessment for regaining of full movement up to 12 month. In the sixth month assessment there were 66(76.7%) Excellent, 14(16, 2%) Good, 6(6.9%) Fair. The final assessment in the 12th month were 86(100%) are Excellent.  We conclude that the Kirschner wire intramedullary fixation followed by complete P.O.P cast and physiotherapy is the method of choice for treatment of failed closed reduction of displaced forearm bones fracture in children, in which it is safe, less invasive, less time consuming, effective, and easily performed with excellent outcome.


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