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Operative treatment of pediatric diaphyseal both-bone forearm fractures with flexible intramedullary fixation

Forearm fractures constitute the largest group of injuries in children’s musculoskeletal system. When treating these injuries, we strive to achieve a complete union, not forgetting to restore the correct axis and limb length, which later determines proper functioning of the upper limb. As far as treatment is concerned, the operative method of choice selected more and more is the elastic (flexible) intramedullary fixation. The aim of this study is to evaluate the treatment outcomes of diaphyseal both-bone forearm fractures in children using flexible intramedullary fixation based on the materials of the Pediatric Orthopedics and Rehabilitation Department of the Medical University of Lublin. 120 patients were hospitalized in 2014-2018 in the Pediatric Orthopedics and Rehabilitation Department of the Medical University of Lublin due to fractures of both forearm bones. The study group consisted of 63 patients classified and treated surgically with stable elastic intramedullary fixation according to the Metaizeau method. As a result of the analysis, the authors conclude that the operative management of the diaphyseal both-bone forearm fractures with flexible intramedullary fixation enables the restoration of anatomical conditions of the limb, rapid mobilization of the limb and is associated with a relatively small number of complications.