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KMID : 0361619950300051416
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Journal of the Korean Orthopaedic Association
1995 Volume.30 No. 5 p.1416 ~ p.1422
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Closed Intramedullary Nailing of Diaphyseal Forearm Fracture in Adolescence
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정영기
유정한/송백용/박용욱/백상철
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Abstract
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Fractures of the shaft of the radius and ulna occur commonly in children and are usually treated by closed reduction and plaster cast immobilization. Anatomic reduction is seldom necessary because of the remodelling potential in the child under
10
years
of age, whereas the bones of children older than 10 years of age have less capacity to remodel and the diaphyseal fracture is unstable. In case of either unacceptable reduction or unstable fractures in adolescent patients, an operative treatment
is
required.
In five children older than 12 years of age for whom conservative treatment had hailed, we treated a closed intramedullary nailing using a distal radial and proximal ulnar approach, and followed up for 1 year or more. All fractures healed within
6
weeks. No nonunion, cross-union or retrature occured Another advantages of this method are negliable cosmestic defect and easy removal of the internal fixation device under iocal anesthesia.
We think that closed intramedullary nailing with rush pin is a safe and reliable method to treat unstable forearm fracture in children older than 12 years of age.
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KEYWORD
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