Casting Versus Flexible Intramedullary Nailing in Displaced Pediatric Forearm Shaft Fractures

Launched by HELSINKI UNIVERSITY CENTRAL HOSPITAL · Dec 10, 2020

Keywords

ClinConnect Summary

This clinical trial is studying two different ways to treat broken forearm bones in children aged 7 to 12 years old. The trial compares the traditional method of putting the arm in a cast after gently realigning the bones (called closed reduction and casting) to a newer method that uses flexible rods inserted into the bone (called flexible intramedullary nailing). Researchers want to find out if one method works better than the other in helping children heal from these fractures and avoid problems later on.

To be eligible for the trial, children must be between 7 and 12 years old and have a specific type of broken forearm where the bones are misaligned by more than 10 degrees. Children with more serious conditions, such as multiple fractures or infections, cannot participate. If a child joins the study, they will receive one of the two treatments and will be monitored to see how well their arm heals. This trial is currently recruiting participants, and it aims to improve the way we treat forearm fractures in children.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 7 to12 year old children
• • Open distal radial physis
• • Both bone forearm shaft fractures (AO-pediatric classification: 22D/2.1-5.2)
• • More than 10 degrees of angulation
• • with or without less than 10mm of shortening
• Exclusion Criteria:
• • Patients with bilateral fractures
• • Gustilo-Anderson grade I-III open fracture
• • Neurovascular deficit
• • Compartment syndrome
• • Pathologic fracture
• • Patient not able to give a written informed consent