Therapeutic Comparison Of Titanium Elastic Nailing And Plating In Treatment Of Both Radius And Ulna Fracture In Children

Background:Incidence of fracture is a common childhood traumatic disease, about 1.98% of all diseases. The forearm both bones fracture is easier to happen in the fractures in children. Current main way surgical treatment for children’s forearm both bones fractures are TEN and plating fixation. In older age (> 10) of these two kinds of operation method in children each has its advantages and disadvantages, therefore, in our hospital from 2009 to 2014, the author of children’s forearm both bones fracture surgery effect do retrospective analysis, for children’s forearm both bones fractures after how to choose the two operation ways are also proposed.Objective:To compare the effect of titanium elastic nailing(TEN) and plating in treatment of both radius and ulna fractures in children older than 10 years.Methods:This retrospective analysis 47 children (50 sides) of both radius and ulna fracture treated with TEN (30 sides) or plate (20 sides) between 2009 and 2014 in our hospital. Parameters compared between the two fixation methods were operation time, ratio of open/close reduction, time to internal fixation removal, incidence of postoperative complications, and bone union time. Anderson score was used to evaluate the treatment results.Results:Operation time [(94.339.5)min vs (120.545.4)min], time to internal fixation removal [(210.884.1)d vs (264.488.9)d], and ratio of open/close reduction (20/10 vs 20/0) varied significantly between TEN and plating groups (P<0.05 or 0.01). Whereas, no statistically significant differences were noted in regard to complication rate, bone union time, and effect evaluation.Conclusion:For fracture of the radius and ulna in children older than 10 years, TEN should be used for closed type without outcome in treatment of open type with obvious displacement.