Journal of Pediatric Orthopaedics · 1990 · 303 citations · 0 references
MedicineOrthopaedic SurgeryOrthopedic SurgeryElbow SurgeryPediatric OrthopaedicsPediatric Orthopedic SurgeryFracture FixationFracture ManagementInternal FixationNail SurgeryClosed Fracture ReductionConservative Surgical TreatmentElastic Stable Intramedullary NailingHumeral Shaft FracturesPediatric Fracture Fixation
The results of elastic stable intramedullary nailing (ESIN) of 85 forearm fractures in children are reported. A single curved nail was inserted into each forearm bone with closed reduction. Immediate mobilization was allowed postoperatively. In a 3 year 6 month follow-up of 76 patients, 92% had excellent results with a full range of movement. There were neither nonunions nor infections. ESIN is recommended in the treatment of displaced forearm fractures in children older than 10 years of age, and in younger children when conservative treatment fails.