Single Bone Intramedullary Fixation in Pediatric both Bone Forearm Fractures

Background: The forearm bones are frequently broken in children; forty percent of all childhood fractures occur there. Compression plating, intramedullary nailing, K-wires, and external fixation are only some of the therapeutic options that can be used to achieve reduction. Objective: To evaluate the functional outcome of single intramedullary bone fixation in fractured both bones of the forearm in kids (skeletally immature patients). Patients and methods: Twenty children with two-bone forearm fractures, all of whom were treated with a single bone fixation throughout a six-month period beginning in January 2022 and ending in June 2022. Results: 20% of cases were female, and 80% were male. There were 2 patients (100%) with closed reduction internal fixation of the ulna only by elastic stable intramedullary nailing, and 18 patients (90%) with closed reduction internal fixation of the radius only by elastic stable intramedullary nailing. There were 2 cases complicated by superficial infection, 2 cases complicated by partial loss of reduction, and 2 cases complicated by transient neuropraxia. Conclusion: With a 100% bone union rate, few comorbidities, and excellent functional outcome when used for either ulnar or radius fixation alone, elastic stable intramedullary nailing is an effective way to manage unstable displaced diaphyseal forearm fractures