Jibin Liu, Department of Orthopedics, Affiliated Zhongshan Hospital of Dalian University, Dalian, China
Zongpu Wang, Department of Orthopedics, Affiliated Zhongshan Hospital of Dalian University, Dalian, China
Xiaowei Ma, Department of Orthopedics, Affiliated Zhongshan Hospital of Dalian University, Dalian, China
Jianchuan Wang, Department of Orthopedics, Affiliated Zhongshan Hospital of Dalian University, Dalian, China
Objective: The objective of the study is to evaluate the safety and efficacy of three different treatment methods for pediatric ulnar and radial double fractures. Methods: 120 children with ulnar and radial double fractures were included in the study. According to the different treatment plans, children were divided into three groups: manual reduction, splint external fixation, double elastic intramedullary fixation, and double plate fixation. Surgical indicators, radiological results, clinical efficacy, and complications were evaluated and compared among the groups. Results: The average hospital stay and operation time were significantly longer in the double plate internal fixation group compared to the other two groups. The double elastic intramedullary nailing group showed a higher fracture healing rate at 3 months compared to the other groups. There were no significant differences in clinical efficacy among the three groups. Complications were observed in all groups but did not show significant statistical differences. Conclusion: Double elastic intramedullary nailing fixation demonstrated favorable outcomes in terms of surgical indicators and fracture healing rates for pediatric ulnar and radial double fractures.
Keywords: Pediatric fractures. Ulnar and radial fractures. Treatment methods. Double elastic intramedullary nailing. Clinical outcomes.