Adarsh Thammaiah 1 , Ravikiran H. G2 , Gurumurthy B 3 , Vijay C 4 , Ravishankar R 5
ABSTRACT: BACKGROUND: Both bone forearm fractures are common orthopedic injuries in paedtric age group and optimal treatment is dictated not only by fracture characteristics but also patient age and factors like bone’s ability to remodel with remaining growth. AIMS, SETTINGS & DESIGN: Generally, these fractures can be successfully managed with closed reduction and casting, however operative fixation may also be required. The most favorable method of fixation has not been clearly established and hence we proposed to compare outcomes of conservatively managed patients of diapyseal fractures of both bone forearm versus surgical intervention patients in paediatric age group. METHODS & MATERIAL: In the study of 50 cases, 33 patients were treated by CR+POP application, 11 cases were treated by OR+IF with Plates & Screws and 6 cases were treated by CR+IF with Intramedullary nailing. STATISTICAL ANALYSIS USED: All information gathered in the study was recorded and analysed with use of the SPSS software package (version 13, SPSS Inc., Chicago, IL). RESULTS & CONCLUSION: In our study of 50 cases, 33 cases were treated by closed reduction and POP application. Fracture union was seen in all cases between 8 to 12 weeks. At the end of 3 months, 28 patients developed full range of movements with no functional deformity or complaints. One patient had 10-degree loss of pronation, 3 patients had 20- degree loss of pronation [Good] and only 1 patient had 30-degree loss of supination and 10-degree loss of pronation and also complained of pain on strenuous work [fair]. According to the criteria set by Price et al., 29 patients had excellent result, 2 had good result and 2 had fair results in treatment of forearm fracture’s in children by closed reduction and plaster of paris (POP) application.
