Operative versus conservative treatment of distal forearm fractures in pediatric age group between (6 to10) years old

Authors

1 Department of orthopedic surgery, Faculty of Medicine For Boys, Al-Azhar University, Cairo, Egypt.

2 Department of Orthopedic Surgery, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt.

Abstract

Background: Children most often sustain forearm fractures, which make up 30% to 40% of all fractures. Due to the drawbacks of conservative treatments, such as mobility loss, compartment syndrome, residual deformation, and re-displacement, surgical intervention has gained popularity. Aim and objectives: The study's objective is to assess the clinical and radiological results between operative versus conservative management of distal forearm fractures in pediatric age group between 6 to 10 years old. Subjects and methods: This prospective research was done at Al-Azhar University Hospitals to 40 cases. Patients were randomly split into 2 groups based on the fracture care strategy; Group A: 20 patients received conservative treatment by cast, and Group B (control): 20 patients received operative treatment either by percutaneous K wire or intramedullary fixation. Results: Union, healing and reduction were insignificantly different between both groups. Group A's union time was substantially shorter than that of group B. (P value= 0.008). Conclusion: Conservative therapy that immobilizes the forearm fracture with a cast may provide satisfactory clinical results. There was no substantial vatiation between conservative and surgical treatment as regard complications.

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