NON OPERATIVE TREATMENT

FUNCTIONAL OUTCOME OF RADIUS ULNA DIAPHYSEAL FRACTURES IN CHILDREN

Abstract

Background: Pediatric forearm fractures result in substantial morbidity and
costs. Despite the success of public health efforts in the prevention of other injuries, the incidence
of pediatric forearm fractures is increasing. Most forearm fractures occurred during the spring
season. Objective of the study is to determine the functional outcome of conservatively treated
radius ulna fractures in Children. Design: Descriptive study. Setting: Department of Orthopedics
and Traumatology, Khyber Teaching Hospital Peshawar. Period: March 2009 to April 2010.
Methodology: Total 236 children with radius ulna fractures were manipulated and above elbow
plaster Cast applied for 6-8 weeks and reviewed every second week. After plaster cast removal
Pronation and supination measured with goniometer and fortnightly thereafter for 6 weeks.
Results: All the fractures united. Normal range of pronation and supination at the end of follows
up period was in 182(80.53%) children. Loss of pronation and supination of average 10 degrees
were in 9(3.98%) patients. Patients having displacement of the fracture and opted for surgery
were 35(15.46%). Conclusions: Closed reduction of diaphyseal fractures in children results in
normal pronation and Supination in majority of the patients.