{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T01:44:12Z","timestamp":1782956652127,"version":"3.54.5"},"reference-count":32,"publisher":null,"issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,7]]},"abstract":"\n Background:<\/jats:title>\n Childrens' distal forearm fractures (DFFs) could be treated conservatively with closed reduction and immobilisation, but post-reduction displacements often occur. Displaced DFF should be surgically fixed, to avoid further displacement. Nevertheless, immobilisation after surgery is recommended. Epibloc system (ES), a system of stable elastic nail fixation, is widely used to stabilise adults extra-articular distal radius fractures, with advantages to not requiring post-surgical immobilisation. The present investigation represents a retrospective analysis of paediatric patients with DFF treated with ES applied with a minimal technical variation, to fix both ulna and radius fractures using a unique device.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n A retrospective analysis was performed on 44 children (age 6\u201311 years) who underwent closed reduction and internal fixation because of DFF (both ulna and radius). Group A (21 patients): ES fixation. Group B (23 patients): K-wires and short arm cast fixation. The primary outcome was the subsistence of reduction monitored through X-rays. The secondary outcome was the measurement of active range of motion (AROM) and the time of recovery.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n No differences were observed comparing Group A and B in terms of the maintenance of reduction (\n P<\/jats:italic>\n > 0.05). Seven days after the implant removal, patients in Group A reached significantly better results compared to patients in Group B in terms of AROM (\n P<\/jats:italic>\n < 0.05). No differences were revealed in terms of complications between the two groups.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n ES applied with a minimal technical variation is safe and effective in treating distal ulna and radius fractures, with minimal requirement of post-surgical rehabilitation.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ajps.ajps_178_20","type":"journal-article","created":{"date-parts":[[2022,6,23]],"date-time":"2022-06-23T11:18:01Z","timestamp":1655983081000},"page":"153-159","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Elastic Stable Intramedullary Fixation Using Epibloc versus Crossed Kirschner Wires Fixation for Distal Forearm Fractures in Children"],"prefix":"10.67481","volume":"19","author":[{"given":"Rocco","family":"De 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