[Simultaneous ipsilateral humerus and forearm fractures in children].

Abstract

To evaluate the results of treatment with early reduction and internal fixation for simultaneous ipsilateral distal humerus and forearm fractures in children. The study included six patients (1 girl, 5 boys; mean age 11.5 years; range 9 to 13 years) who underwent treatment for ipsilateral humerus distal and forearm fractures. Reduction and fixation of fractures were performed percutaneously or by mini-open incisions. At the end of the follow-up period, patients were evaluated according to the Flynn's criteria. Radiologic and functional results on the involved side were compared with that of the normal. The mean follow-up period was 35 months (range 24 to 52 months). According to the Flynn's criteria, radiologic outcome was perfect in four patients (67%), and good in two (33%); functional results were perfect in three (50%), and good in three patients (50%). There were no significant differences between the two extremities with respect to elbow and wrist range of motion and radiologic parameters of the elbows. Early anatomic realignment of soft tissues and early active rehabilitation in simultaneous ipsilateral fractures of the distal humerus and forearm are significant factors for a satisfactory outcome. Treatment with early reduction and internal fixation with minimal soft tissue damage seems to be the method of choice in these fractures.