{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T13:02:34Z","timestamp":1772024554557,"version":"3.50.1"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjectives: We compared the clinical results of open reduction with a mini incision and closed reduction in pediatric unstable diaphyseal forearm fractures treated with intramedullary nailing.\\r\\nMethods: We retrospectively evaluated 45 children who were treated with intramedullary nailing for unstable middle third diaphyseal forearm fractures. Before intramedullary nailing, 24 patients (group 1; 5 girls, 19 boys; mean age 10 years; range 5 to 14 years) underwent open reduction with a mini incision, and 21 patients (group 2; 5 girls, 16 boys; mean age 11.5 years; range 8 to 13 years) underwent closed reduction. There were 16 closed, seven Gustilo-Anderson type 1, and one type 2 open fractures in group 1, and 15 closed and six type 1 open fractures in group 2. The mean time to surgery was 5 days (range 1 to 20 days) in group 1, and 3.1 days (range 1 to 5 days) in group 2. Rush rods or Kirschner wires were used for fixation. In group 1, both radius and ulna were fixed in all the patients, whereas fixation involved both bones in 18 patients, and only ulna in three patients in group 2. Functional results were evaluated according to the criteria of Price et al. The mean follow-up period was 33 months (range 12 to 89 months) in group 1, and 37 months (range 14 to 52 months) in group 2.\\r\\nResults: Union was obtained in a mean of 7.1\u00b11.0 weeks (range 6 to 9 weeks) in group 1, and 6.5\u00b11.0 weeks (range 6 to 10 weeks) in group 2. The implants were removed after a mean of 7.2\u00b11.7 weeks (range 6 to 10 weeks) in group 1, and 8.1\u00b10.4 weeks (range 8 to 10 weeks) in group 2. The two groups differed significantly with respect to union and implant removal times (p=0.036 and p=0.002, respectively). According to the criteria of Price et al., the results were excellent in 19 patients (79.2%) and 18 patients (85.7%), and good in five patients (20.8%) and three patients (14.3%) in group 1 and 2, respectively. There was no significant difference between the functional results of the two groups (p&gt;0.05). Complications showed a similar profile in the two groups, being one major (4.2%) and seven minor (29.2%) in group 1, one major (4.8%) and eight minor (38.1%) in group 2. None of the patients had complications such as limb-length discrepancy, epiphyseal damage, angular or rotational deformity, synostosis, or limited elbow or forearm range of motion.\\r\\nConclusion: Closed reduction or open reduction with a mini incision before intramedullary nailing yield similar functional results, with a similar complication profile in the treatment of pediatric unstable diaphyseal forearm fractures.\n\n\u00d6zet\n\nKey words: Bone wires; child; fracture fixation, intramedullary\/methods; radius fractures\/surgery; ulna fractures\/surgery.\\r\\n\\r\\nAma\u00e7: \u00c7ocuklarda dengesiz \u00f6nkol cisim k\u0131r\u0131klar\u0131n\u0131n intramed\u00fcller \u00e7ivi ile tedavisinde mini insizyonla a\u00e7\u0131k ve kapal\u0131 yerle\u015ftirme uygulamalar\u0131n\u0131n sonu\u00e7lar\u0131 kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131.\\r\\n\u00c7al\u0131\u015fma plan\u0131: Dengesiz \u00f6nkol 1\/3 orta cisim k\u0131r\u0131\u011f\u0131 nedeniyle intramed\u00fcller \u00e7ivileme y\u00f6ntemi ile tedavi edilen 45 \u00e7ocuk hasta geriye d\u00f6n\u00fck olarak de\u011ferlendirildi. \u0130ntramed\u00fcller \u00e7ivileme \u00f6ncesinde, bu hastalar\u0131n 24\u2019\u00fcne (grup 1; 5 k\u0131z, 19 erkek; ort. ya\u015f 10; da\u011f\u0131l\u0131m 5-14) mini insizyonla a\u00e7\u0131k yerle\u015ftirme; 21\u2019ine (grup 2; 5 k\u0131z, 16 erkek; ort. ya\u015f 11.5; da\u011f\u0131l\u0131m 8-13) kapal\u0131 yerle\u015ftirme uyguland\u0131. Grup 1\u2019de 16 k\u0131r\u0131k kapal\u0131, yedisi Gustilo-Anderson tip 1, biri tip 2 a\u00e7\u0131k k\u0131r\u0131k iken, grup 2\u2019de 15\u2019i kapal\u0131, alt\u0131s\u0131 tip 1 a\u00e7\u0131k k\u0131r\u0131kt\u0131. Yaralanmadan cerrahi giri\u015fime kadar ge\u00e7en s\u00fcre grup 1\u2019de 5 g\u00fcn (da\u011f\u0131l\u0131m 1-20 g\u00fcn), grup 2\u2019de 3.1 g\u00fcn (da\u011f\u0131l\u0131m 1-5 g\u00fcn) idi. B\u00fct\u00fcn hastalarda Rush \u00e7ivisi veya Kirschner teli kullan\u0131ld\u0131. Grup 1\u2019deki hastalar\u0131n hepsinde hem radius hem ulna tespit edilirken, grup 2\u2019de \u00fc\u00e7 hastada sadece ulna, 18 hastada her iki kemik birden tespit edildi. \u0130\u015flevsel sonu\u00e7lar Price ve ark.n\u0131n \u00f6l\u00e7\u00fctlerine g\u00f6re de\u011ferlendirildi. Ortalama takip s\u00fcresi grup 1\u2019de 33 ay (da\u011f\u0131l\u0131m 12-89 ay), grup 2\u2019de 37 ay (da\u011f\u0131l\u0131m 14-52 ay) idi. \\r\\nSonu\u00e7lar: Grup 1\u2019de ortalama 7.1\u00b11.0 haftada (da\u011f\u0131l\u0131m 6-9 hafta), grup 2\u2019de ortalama 6.5\u00b11.0 haftada (da\u011f\u0131l\u0131m 6-10 hafta) kaynama sa\u011fland\u0131. \u00c7ivilerin \u00e7\u0131kar\u0131lma s\u00fcreleri grup 1\u2019de ortalama 7.2\u00b11.7 hafta (da\u011f\u0131l\u0131m 6-10 hafta), grup 2\u2019de ortalama 8.1\u00b10.4 hafta (da\u011f\u0131l\u0131m 8-10 hafta) idi. Ortalama kaynama s\u00fcresi (p=0.036) ve \u00e7ivilerin \u00e7\u0131kar\u0131lma s\u00fcresi (p=0.002) a\u00e7\u0131s\u0131ndan iki grup aras\u0131nda anlaml\u0131 fark g\u00f6r\u00fcld\u00fc. Price ve ark.n\u0131n \u00f6l\u00e7\u00fctlerine g\u00f6re, grup 1\u2019de 19 hastada m\u00fckemmel (%79.2), be\u015f hastada (%20.8) iyi; grup 2\u2019de 18 hastada (%85.7) m\u00fckemmel, \u00fc\u00e7 hastada (%14.3) iyi sonu\u00e7 al\u0131nd\u0131. Gruplar\u0131n i\u015flevsel sonu\u00e7lar\u0131 aras\u0131nda anlaml\u0131 fark saptanmad\u0131 (p&gt;0.05). Komplikasyonlar iki grupta benzerlik g\u00f6sterdi: Grup 1\u2019de bir \u00f6nemli (%4.2), yedi hafif (%29.2) komplikasyon g\u00f6r\u00fcl\u00fcrken, grup 2\u2019de bir \u00f6nemli (%4.8), sekiz hafif (%38.1) komplikasyon g\u00f6r\u00fcld\u00fc. Hi\u00e7bir olguda \u00fcst ekstremite uzunluk e\u015fitsizli\u011fi, epifizyel hasar, a\u00e7\u0131sal ya da rotasyonel deformite, sinositoz, dirsek ve \u00f6nkol hareket a\u00e7\u0131kl\u0131klar\u0131nda k\u0131s\u0131tl\u0131l\u0131k gibi komplikasyonlar g\u00f6r\u00fclmedi.\\r\\n\u00c7\u0131kar\u0131mlar: \u00c7ocuklarda dengesiz \u00f6nkol cisim k\u0131r\u0131klar\u0131n\u0131n intramed\u00fcller \u00e7ivi ile tedavisinde, kapal\u0131 yerle\u015ftirme veya mini insizyonla a\u00e7\u0131k yerle\u015ftirme tekniklerinde i\u015flevsel sonu\u00e7lar\u0131n ve komplikasyonlar\u0131n benzer oldu\u011fu g\u00f6r\u00fclmektedir.<\/jats:p>","DOI":"10.3944\/aott.2010.2260","type":"journal-article","created":{"date-parts":[[2010,5,12]],"date-time":"2010-05-12T14:27:30Z","timestamp":1273674450000},"page":"7-13","source":"Crossref","is-referenced-by-count":13,"title":["Clinical results of intramedullary nailing following closed or mini open reduction in pediatric unstable diaphyseal forearm fractures"],"prefix":"10.5152","volume":"44","author":[{"given":"Merter","family":"Yalcinkaya","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmet","family":"Dogan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ufuk","family":"Ozkaya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sami","family":"Sokucu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Onat","family":"Uzumcugil","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yavuz","family":"Kabukcuoglu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,8]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2345\/2302","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T10:56:54Z","timestamp":1763463414000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2345"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2010,1,1]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2010.2260","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,8]]}}}