الفهرس 
AcknowledgmentOnly 14 pages are availabe for public view
 |  | from | 88 |  |  |
| | | from | 88 | | |
Abstract
Introduction: Diaphyseal forearm fractures are common injuries and represent between 3 to 6 percent of all pediatrics fractures. They are unique and they differ from fractures of any other long bones. They are one of the few pediatric fractures that show a real risk of complications and prolonged morbidity. Successful treatment of both-bone forearm shaft fractures results in restoration of anatomic alignment and full recovery of range of motion. Closed reduction and cast immobilization remains the gold standard treatment for minimally displaced and stable pediatrics forearm fractures. However conservatively treated diaphyseal fractures of the forearm remodel poorly and have a higher incidence of malunion. Previous studies estimate that the failure of non-operative treatment of Diaphyseal fractures in pediatric populations ranges between 39% and 64%. Over time the treatment of both-bone forearm shaft fractures in children has become increasingly surgical in nature and standard treatments entail fixation of both the radius and ulna, but several studies have reported that single bone fixation alone is often enough to obtain a satisfactory outcome in pediatric patients but there is still controversy as to whether single bone fixation, fixation of the ulna or radius alone is adequate to restore and maintain stability in fractures of both bones of the forearm, and whether it has comparable complication rates to both bone fixationMaterials and Methods: the study is a Prospective Comparative Randomized case control clinical study done at Department of Orthopedics and Trauma Surgery, Assiut University Hospitals. 50 Pediatric Patients with unstable Both Bone Forearm Fractures (from the 1st of November 2018 to the 28th of February 2020) were included in this study fulfilling the inclusion criteria and 25 patients were fixed with single bone ulna Osteosynthesis while another 25 patients were fixed with Both Bone Osteosynthesis. The patients were followed for a minimum of three months’ post-operative.