الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 119 |  |  |
| | | from | 119 | | |
Abstract
Forearm fractures are one of the most common injuries in children and adolescents. Their incidence is thought to be increasing during the last decade. Diaphyseal forearm fractures in particular are among the most common injuries treated in children. In our 2 year prospective study on 80 pediatric patients with diaphyseal both bone shaft fracture we found that this type of fracture is more common in male patients, non-dominant side and during summer months. The most common cause of injury in our cases was falling down at home. The majority of cases had a middle third fracture. Closed reduction and casting was more commonly used in management of our cases in (N=50/80, 62.5%) while using ESIN in (23/80, 28.75%) and plate and screw fixation used in (7/80, 8.75%). In our study we concluded that the risk of pediatric forearm shaft fractures is much higher in summer months than winter months. These findings are important in understanding the background of these increasing fractures so that our Emergency trauma units should prepare themselves for these challenging injuries on dry summer days. In treating pediatric both bone diaphyseal forearm fractures, we should put a two main objectives in minds. The first one is to achieve a good functional outcome that not interfere with patient daily activities, second one is to manage our patient by single primary method avoiding re-intervention. Closed reduction and cast application remain the first line of treatment pediatric forearm fracture, over the past few decades, management of pediatric forearm fractures has shifted more towards operative intervention. Guidelines for acceptable alignment remain controversial, but some malalignment deformity is well tolerated especially in distal third fracture and children younger than 10 years of age. We concluded that patients older than 10 years of age, proximal third fracture are at high risk for re-displacement during follow up visits. So we should monitor these patients carefully every week for the first 4 weeks post treatment. To decrease re-displacement rate in non-operative method we should decrease surgeon related factors by adequate reduction and application of well moulded three point fixation cast. Due to a paucity in the literature coupled with a nonsystematic presentation of results, it is very difficult to use cast index, padding index and Canterbury index as a predictive indices for re-displacement so other studies to concern this is recommended.