Closed Osteoclasis in Both-bone Forearm Malunions of Children: A New Technique and Report of Two Cases

Abstract

Displaced fractures of the both-bone forearm in children are often treated conservatively, but there is a relatively high incidence of malunion. We used a new closed osteoclasis technique by assistance of intramedullary K-wires and fracture fixated with intramedullary K-wires in two children with both-bone forearm distal diaphyseal malunions which determined in early period. K-wires were extracted within the 1 month. At the last follow-up, there was no problem in fracture union and forearm function. This new osteoclasia technique can be safely used in both-bone forearm malunions of children which diagnosed in early period.

Keywords

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Çocuk Önkol Çift Kemik Açılı Kaynamasında Kapalı Osteoklazi: Yeni Bir Teknik ve İki Olgu Sunumu

Öz

Çocuk önkol çift kırıklarında uygun kapalı redüksiyon ve sık kontrollere rağmen açılı kaynama meydana gelebilmektedir. Önkol çift kırığı sonrası erken dönemde açılı kaynama tespit edilen 5 yaşındaki kız ve 4.5 yaşındaki erkek olgularda intramedüller K-telleri yardımı ile kapalı osteoklazi yaptık ve intramedüller K-telleri ile osteosentez uyguladık. İlk 1 ay içinde tespit materyalleri çıkartılan olguların son kontrollerinde kaynama sorunsuzdu ve önkol fonksiyonları normaldi. Bu yeni osteoklazi tekniği erken dönemde saptanan çocuk önkol çift kemik açılı kaynamalarında güvenle uygulanabilir.

Anahtar Kelimeler

• Çocuk, önkol, açılı kaynama, intramedüller K-teli, kapalı osteoklazi

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10. Kabul Tarihi:21.02.2005