Comparison between Flexible Intramedullary Nailing vs. Plate Fixation in Both Bone Forearm Fractures in Adolescents

Children's and adolescents' forearm bone fractures have always been treated conservatively with closed reduction and slab. Surgical intervention is necessary when a satisfactory closure reduction cannot be maintained or attained. The article aimed to determine the optimal method of fixation for treating both bone diaphyseal forearm fractures in adolescents. To compare the radiographic and clinical results of treating both bone forearm diaphyseal fractures in adolescents aged 12 to 16 years.In a RCT study comparing two patient groups, patients receiving elastic stable intramedullary nails were included in the first group. Patients in the second group received open reduction, internal fixation with plates and screws, and six weeks of treatment & follow up.The study findings, as reported at the most recent follow-up visit, varied from two weeks to six months. 90% of patients had an excellent functional outcome & excellent forearm rotation in plating group while about 85% obtained the same outcome in IMN group. Regarding the amount of time that had passed, there was no statistically significant difference between the two groups under study. Regarding the length of radiological union, there was no statistically significant difference between the two groups under study. (P>0.05). Our analysis of the frequency and severity of complications indicates that open reduction and internal fixation -by plates and screws- and intramedullary nailing fixation are safe and effective treatment for adolescent diaphyseal both bone forearm fractures. These radiographic measurements include radial bow, fracture angulation, displacement, and time to union.