Comparision Of Intramedullary Nailing (Rush Nail) Vs. Plate Fixation In Treating Monteggia Fractures In Children
DOI:
https://doi.org/10.63682/jns.v13i1.7785Keywords:
Monteggia fracture, Rush nailing, Plate fixation, Pediatric orthopedicsAbstract
Background: Monteggia fractures are a type of pediatric injury that is regularly encountered and needs decent treatment. Surgical repair usually consists of nailing within the bone (intramedullary- Rush nail) or fixation with a plate. Results of clinical outcomes depend on both the specific benefits and the setbacks of any particular method. The best fixation techniques are controversial regarding the enhancement of functional outcomes and bone healing in children.
Objectives: Comparing intramedullary nailing with plate fixation in treating Monteggia fractures in children by giving emphasis to the time of healing, rate of complications, and functional improvement.
Study design: A cross sectional study.
Place and duration of study: Department of Orthopedic DHQ Hospital Mishti Maila Orakzai KPK Pakistan From 05 October 2023 To 05 March 2024
Methods: This Cross sectional study was conducted in Department Of Orthopedic DHQ Hospital Mishti Maila KPK Pakistan from 05 October 2023 to 05 March 2024. all the children who had plate fixation of Monteggia fractures compared to Rush nailing. Healing of the fractures, functional results, complication, and reduced radial head were evaluated during follow-up. A statistical test was conducted to determine the effectiveness of the two methods by focusing on the p-value of significance.
Results: The mean age of 8.5 years (SD \pm 3.1) out of 100 patients. Among the 50 patients treated by Rush nailing, 23 had achieved full union of the bone in 12 weeks. Fixation using plates led to 50 patients having an union in 10 weeks. Fracture healing time was another variable whose p-value was 0.02 indicating that plate fixation was statistically significant.
Conclusion: Monteggia fractures can be effectively treated by both nailing the Rush and plate fixation in children. Nevertheless, plate fixation showed better results during the healing process. Study is necessary to understand how to fixate fractures, depending on their complexity, as optimally as possible.
Downloads
References
Tewfik FH, Al Metairie KS, Al Agedly AA. A comparison study between plate fixations versus intramedullary nailing in treatment of unstable diaphyseal fractures of both bones of the forearm in children. JMSP. 2022; 8(4):120.
Veteran DT, Song Z, Wang K, Tang Z, Xiang F, Went J, Xiao S. Comparison of the midterm result between locking plate and elastic intramedullary nail treating oblique Ulnar fracture Bade type I acute montage fracture in pediatric patients. BMC Musculoskeletal Disorders. 2022 Sep 12; 23(1):858.
Alaric W, Alga wiz A, Shabbat ES, Allied ZM, Aldanyowi SN, Albehaidel S, Lahars O. Intramedullary Nailing Versus Plating Techniques in Femoral Fractures in Children: A Systematic Review and Meta-analysis. Journal of Advanced Trends in Medical Research. 2024 Jul 1; 1(3):1052-60.
Azania SB, Schemata EM. Percutaneous K wire fixation for Pediatric montage fracture. Zigzag University Medical Journal. 2024 May 1; 30(3):786-93.
Kooky S, Castagno A, Arabia M. Single bone intramedullary fixation of the radius in pediatric both bone forearm fractures using straight stainless steel Kirsches wire: a cross-sectional study on radiological and clinical feature. Archives of Bone and Joint Surgery. 2024; 12(3):167.
Hefty AS, Essayed MH, Mentally OM, Ahmed EM. Evaluation of outcome of percutaneous K-wires fixation of pediatric both bone forearm fractures. The Egyptian Journal of Hospital Medicine. 2022 Jan 1; 86(1):586-92.
Hefty AS, Essayed MH, Mentally OM, Ahmed EM. Evaluation of outcome of percutaneous K-wires fixation of pediatric both bone forearm fractures. The Egyptian Journal of Hospital Medicine. 2022 Jan 1; 86(1):586-92.
KC KM, RC DR, Chary P, Sigel A, Lama DK, Dahl SC. Functional outcomes of pediatric both bone fractures fixed with titanium elastic nails: a hospital based study. Europasian Journal of Medical Sciences. 2021 Nov 22; 3(1):53-9.
Kamala R, Fugal N. Radial and Ulnar Shaft Fractures: Choice of Approach Nails vs. Plates, Compression Tips and Tricks. In Skeletal Trauma of the Upper Extremity 2022 Jan 1 (pp. 446-456). Elsevier.
Pierre L, Pierre J. Use of flexible nails in children diaphyseal fractures. Five questions and answers. Гений ортопедии. 2021; 27(4):413-7.
Jain D, Singh S, Bengali S, Kumar P. An Atypical Type ofMonteggia Equivalent: A Case Report. Journal of Orthopedic Case Reports. 2021 Oct; 11(10):96.
Shanmugasundaram S, Panda SR, Samundeeswari S, Kumar D. Titanium elastic nails in the management of fractures. In Handbook of Orthopedic Trauma Implant logy 2023 May 9 (pp. 1-35). Singapore: Springer Nature Singapore.
Kara GG. Implant logy of Fractures of the Shaft of Radius and Ulna. In Handbook of Orthopedic Trauma Implant logy 2023 Apr 1 (pp. 1-16). Singapore: Springer Nature Singapore.
Danka KN, Suzie E, Fore SK. Rare Bilateral Radius and Ulna Fractures: A Case Report. Open Journal of Orthopedics. 2024 Jan 15; 14(1):1-1.
Bašković M, Peoria D, Zaninović L, Hasidic D, Lehman Vega K, Pogorelić Z. Management of pediatric elbow fractures and dislocations. Children. 2024 Jul 27; 11(8):906.
Huang JI, Miller EA, editors. Malunions and Nonunion in the Forearm, Wrist, and Hand, An Issue of Hand Clinics, E-Book: Malunions and Nonunion in the Forearm, Wrist, and Hand, An Issue of Hand Clinics, E-Book. Elsevier Health Sciences; 2023 Nov 23.
Chan A, Paul R. Galleass Fracture Dislocations. Distal Radius Fractures. 2021 Jan 1:197-205.
Ebenezer J, John R. Fracture Femur. In Textbook of Orthopedics (Includes Clinical Examination Methods in Orthopedics) 2024 (pp. 211-228). Jayvee.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
