Dislocated Unstable Distal Both-Bone Forearm Fractures in Children

Treatment of Unstable Dislocated Both-Bone Distal Forearm Fractures in Children: A Follow-up Study

We create a follow-up study of Kirschner wire fixation of a unstable dislocated distal both-bone forearm fracture.

children who arrive at the emergency unit with a dislocated both-bone distal forearm fracture will be asked to join the trial.

After an unstable reposition, the fracture will be fixated with 2 Kirschner-wires. The arm will be immobilised in above elbow cast during 4 weeks. Outpatient clinic visits till a follow-up of 6 months. During these visits we will investigate: consolidation and dislocation on X-ray, function of both arms, complains in daily living and complications.

Inclusion Criteria:

• both-bone forearm fracture
• distal
• dislocated
• unstable after reposition
• age < 16 years

Exclusion Criteria:

• fracture older than 1 week
• no informed consent
• refracture
• open fracture (Gustillo 2 and 3)
• both fractures of type torus