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Orthopaedic Proceedings
Vol. 95-B, Issue SUPP_1 | Pages 108 - 108
1 Jan 2013
Patel A Anand A Alam M Anand B
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Background

Both-bone diaphyseal forearm fractures constitute up to 5.4% of all fractures in children under 16 years of age in the United Kingdom. Most can be managed with closed reduction and cast immobilisation. Surgical fixation options include flexible intramedullary nailing and plating. However, the optimal method is controversial.

Objectives

The main purpose of this study was to systematically search for and critically appraise articles comparing functional outcomes, radiographic outcomes and complications of nailing and plating for both-bone diaphyseal forearm fractures in children.


Orthopaedic Proceedings
Vol. 95-B, Issue SUPP_1 | Pages 226 - 226
1 Jan 2013
Patel A Anand A Anand B Alam M
Full Access

Introduction

Indications for the use of external fixation include damage control orthopaedics, definitive fracture treatment, deformity correction and leg lengthening. Despite many advances in the development of external fixation techniques, pin-tract infection and loosening are still significant complications. They are the most commonly occurring complications during limb lengthening using external fixation, with some studies reporting an incidence of up to 80%.

Objectives

The main aim of this systematic review was to investigate HA-coated versus uncoated external fixator pins used in patients undergoing leg lengthening and determine benefits in terms of pin loosening, infection and loss of reduction/malunion.