Forearm Refracture in Children: May the Rate be Reduce by K-Wires?
Riva G1*, Monestier L2, D’Angelo F3, Ambrosio MC4, Discalzo G2 and Surace MF5
1Pediatric Orthopaedics Unit - Division of Orthopaedics and Traumatology, Varese, ASST Sette Laghi, Italy
2Division of Orthopaedics and Traumatology, Varese, ASST Sette Laghi, Italy
3Division of Orthopaedics and Traumatology, Varese, ASST Sette Laghi, Italy - Department of Biotechnologies and Life Sciences, Università Degli Studi Dell'insubria, Italy
4Division of Orthopaedics and Traumatology, Università Degli Studi Milano Bicocca, Milano, Italy
5Orthopaedics and Trauma Unit, Cittiglio-Angera, ASST Sette Laghi - Department of Biotechnologies and Life Sciences, Università Degli Studi Dell'insubria, Italy
*Corresponding Author: Riva G, Pediatric Orthopaedics Unit - Division of
Orthopaedics and Traumatology, Varese, ASST Sette Laghi, Italy.
December 14, 2022; Published: January 19, 2023
Refracture is a frequent complication of both bone shaft fracture; although many risk factors have been suggested by different authors during the years, refracture rate remains surprisingly high. Intramedullary pining, with K-Wire or ESIN, has proven to be an effective treatment to restore original anatomy and stabile forearm fracture, but its efficacy in reducing refracture rate is questionable. In our study we assessed retrospectively a cohort of 87 patients treated surgically by intramedullary pinning with K-Wires analyzing the potential of this surgical strategy in reducing refracture indicidence.
Keywords: Both Bone Forearm Fracture; Refracture; K-Wire; Risk Factors
- Carey PJ., et al. “Both-bone forearm fractures in children”. Orthopedics 9 (1992): 1015-1019.
- Zionts LE., et al. “Closed tratment of displaced diaphyseal both-bone forearm fractures in older children and adolescents”. Journal of Pediatric Orthopaedics 4 (2005): 507-512.
- Tisosky AJ., et al. “The Factors Influencing the Refracture of Pediatric Forearms”. Journal of Pediatric Orthopaedics 7 (2015): 677-681a.
- Guang H Yim., et al. “The Evolution and Interpretation of the Gustilo and Anderson Classification”. Journal of Bone and Joint Surgery America 24 (2018).
- Kubiak R., et al. “Is there a standard treatment for displaced pediatric diametaphyseal forearm fractures?”. Medicine (Baltimore)28 (2019): e16353.
- , et al. “Angular malalignment as cause of limitation of forearm rotation: an analysis of prospectively collected data of both-bone forearm fractures in children”. Injury 245.6 (2014): 955-959.
- Bronstein AJ., et al. “The effects of distal radius fracture malalignment on forearm rotation: A cadaveric study”. Journal of Hand Surgery American 22 (1997): 258-262.
- Baitner AC., et al. “The Healing Forearm Fracture. a matched comparison of forearm refractures”. Journal of Pediatric Orthopaedics 7 (2007): 743-747.
- Bould M., et al. “Refractures of the radius and ulna in children”. Injury9 (1999): 583-586.
- Blount WP., et al. “Fractures of the forearm in children”. JAMA 120 (1942): 11-16.
- Litton LO., et al. “Refracture of the forearm in children: a frequent complication”. Journal of Trauma 3 (1963): 41-51.
- Schwarz N., et al. “Refractures of the forearm in children”. Journal of Bone and Joint Surgery 78 (1996): 740-744.
- Han B., et al. “Risk factors for refracture of the forearm in children treated with elastic stable intramedullary nailing”. International Orthopaedics 9 (2019): 2093-2097.
- Dinçer R., et al. “Surgical treatment of pediatric forearm fractures with intramedullary nails”. Journal of Pediatric Orthopaedics B (2019).
- Jorda Gomes., et al. “Buried intramedullary implants for paediatric forearm fractures. Does the refracture rate improve?”. Revista Espanola de Cirugia Ortopedica y Traumatologia (England Edition)1 (2020): 35-40.
- , et al. “Refracture Rate of Both Bone Forearm Fractures: A Retrospective Comparison of Casting Alone Versus Casting and Extended Functional Bracing”. Journal of Pediatric Orthopedics 241.5 (2021): 267-272.