About this trial
evaluate and compare the clinical, and radiographic outcomes of 2.7 mm locking compression mini-plate osteosynthesis versus titanium elastic intramedullary nail (TEN) in the surgical management of diaphyseal fractures of both forearm bones in adolescent patients
Eligibility criteria
Qualifiers
Age: 10 to 16 years (at time of injury).
Fracture pattern: diaphyseal fracture involving both the radius or ulna.
Angulation > 15° in any plane (sagittal or frontal).
Translation > 50% of bone diameter.
Disqualifiers
Open fracture Gustilo type II & III.
Pathological fracture (secondary to bone cyst, tumor, osteogenesis imperfecta, etc.).
Neurovascular compromise requiring emergent exploration (e.g., acute compartment syndrome, pulseless limb after reduction).
Floating elbow (ipsilateral supracondylar humerus fracture + forearm fracture).
Trial design
Treatments tested in this trial
- Open reduction and internal fixation
- Closed or mini-open reduction and fixation