Results of Antegrade Intramedullary Elastic Wires for Severely Displaced Distal Radial Fractures in Children
Volume 9 | Issue 1 | January-April 2023 | Page: 26-32 |Piyush Gadegone, Wasudeo Gadegone, Vijayanand Lokhande
DOI- https://doi.org/10.13107/ijpo.2023.v09.i01.152
Authors: Piyush Gadegone [1] MS Orth., DNB Orth., Wasudeo Gadegone [1] MS Gen. Surg., MS Orth., MNAMS Orth., SICOT (Fellow), Vijayanand Lokhande [1] MS Orth., DNB Orth.
[1] Trauma and Orthopaedics Hospital, Chandrapur, Maharashtra, India.
Address of Correspondence
Dr. Wasudeo Gadegone
Consultant Orthopaedic Surgeon, Trauma and Orthopaedics Hospital, Chandrapur, Maharashtra, India.
E-mail: gadegone123@yahoo.co.in
Abstract
Objective: The objective of this study is to present a new method of Antegrade elastic wires, which is a minimally invasive surgical approach to treat displaced fractures in the distal radial metaphyseal and dia-metaphyseal fractures in children.
Materials and Methods: We conducted a retrospective analysis of 18 patients who received antegrade elastic wires treatment for distal radial fractures from January 2019 to January 2023. The surgical indications encompassed closed, significantly displaced, and unstable fractures located in the metaphysis or diaphyseo-metaphyseal region of the radius. The fractures were stabilized using two prebent short elastic nails that were introduced from the diaphysis to the metaphysis. In instances when an ulnar fracture was present, a traditional anterograde nailing procedure was also carried out. A long or short arm plaster cast was administered for a duration of 3 weeks.
Results: The group consisted of 15 boys and 3 girls, with an average age of 10.8 years (ranging from 7 to 16 years). The right hand was implicated in 12 instances, whereas the left hand was implicated in 6 instances. The mean duration of follow-up was 7.8 months, with a range of 4 to 28 months. Out of the 18 patients, 2 individuals experienced skin irritations, which were resolved after the removal of the radial nails. All patients had complete restoration of their range of motion and experienced successful bone healing without any problems.
Conclusions: An antegrade elastic wire fixation is a very efficient, secure, and readily replicable technique for treating unstable fractures of the distal radius, while also preventing harm to the physeal plate. It successfully attains favorable functional and radiological outcomes and allows early mobilization.
Keywords: Distal radius, Metaphyseal fracture, dia-metaphyseal fractures, Elastic wires, Antegrade.
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| How to Cite this Article: Gadegone P, Gadegone W, Lokhande V Results of Antegrade | Intramedullary Elastic Wires for Severely Displaced Distal Radial Fractures in Children | International Journal of Paediatric Orthopaedics | January-April 2023; 9(1): 26-32 | https://doi.org/10.13107/ijpo.2023.v09.i01.152 |
