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Malunion of Pediatric Forearm Shaft Fractures: Management Principles and Techniques

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Date 2022 Jul 25
PMID 35876970
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Abstract

Purpose Of Review: Clinically significant malunion of forearm diaphyseal fractures is an uncommon but potentially disabling condition amongst children and adolescents. We present the preoperative evaluation, including imaging, and discuss surgical indications and contemporary approaches to manage such patients, including an illustrative case.

Recent Findings: While advances in three-dimensional (3D) simulation, modeling, and patient-specific instrumentation have expanded the surgical armamentarium, their impact on long-term outcomes compared to traditional methods remains unknown. Successful outcome following surgical correction of malunion following a both-bone forearm fracture can be achieved with careful patient selection, appropriate indications, and a well-planned surgical execution.

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References
1.
Roth K, Walenkamp M, van Geenen R, Reijman M, Verhaar J, Colaris J . Factors determining outcome of corrective osteotomy for malunited paediatric forearm fractures: a systematic review and meta-analysis. J Hand Surg Eur Vol. 2017; 42(8):810-816. PMC: 5598749. DOI: 10.1177/1753193417711684. View

2.
BLOUNT W . Osteoclasis of the upper extremity in children. Acta Orthop Scand. 1962; 32:374-82. DOI: 10.3109/17453676208989596. View

3.
Morrey B, Askew L, Chao E . A biomechanical study of normal functional elbow motion. J Bone Joint Surg Am. 1981; 63(6):872-7. View

4.
Nagy L, Jankauskas L, Dumont C . Correction of forearm malunion guided by the preoperative complaint. Clin Orthop Relat Res. 2008; 466(6):1419-28. PMC: 2384037. DOI: 10.1007/s11999-008-0234-3. View

5.
Kanj W, Gunderson M, Carrigan R, Sankar W . Acute compartment syndrome of the upper extremity in children: diagnosis, management, and outcomes. J Child Orthop. 2014; 7(3):225-33. PMC: 3672459. DOI: 10.1007/s11832-013-0492-9. View