•  
  •  
 

Subject Area

Orthopedic Surgery

Article Type

Original Study

Abstract

Background Fractures in children are common scenarios facing orthopedic surgeons. Forearm fractures in childhood account for 25% of all other injuries. Objectives This study aims to evaluate the outcome of management of diaphyseal forearm fracture in children under 12 years old during the coronavirus disease 2019 (COVID-19) crisis and how (COVID-19) affect our choice of management. Patients and methods This study was held on 50 patients; 25 of the children were managed at Menoufia University Hospitals and 25 children were managed at Al Iman General Hospital in Assiut from June 2020 to June 2021. All the patients were subjected to history, physical examination, plain radiograph anteroposterior and lateral views of the forearm from the elbow to the wrist. Method of treatment: of the 50 patients, 17 patients were treated by conservative management and 33 patients by surgical interventions. Results In our study, 17 (32%) cases were managed conservatively by closed reduction above-the-elbow plaster cast (CRAEPC) and 33 (68%) cases were managed operatively by different methods. Based on the Price and colleagues criteria, the functional outcome of our study was calculated, which showed excellent results in 34 (68%) patients, good in 13 (26%), fair in three (6%), and no poor results. All operated cases had general anesthesia on supine position. Conclusion Management of diaphyseal both-bone fracturess in children below 12 years, either conservative or operative, was not affected by COVID-19, that is the role of management is the same pre-COVID-19 and during COVID-19, but methods of follow-up depends on recent communication technology of social media.

Download

Share

COinS