Considerations and Challenges of Resorbable Intramedullary Nailing in Pediatric Forearm Fractures

• DOI: 10.20944/preprints202502.1115.v1
• Publication Date: 2025-02-17T00:43:36Z
• Authors: Gergő Józsa; Tamás Kassai; Marcell Varga; Ádám László Dávid; Zoltán Tóth; Tibor Molnár; Eszter Antal; Anna Gabriella La...; Hermann Nudelman; Aba Lőrincz

Background: Pediatric diaphyseal forearm fractures, often caused by sports or leisure activities, require treatment based on fracture stability. While stable fractures can be managed conservatively, unstable typically surgery, with elastic intramedullary (IM) nailing (ESIN) being the gold standard. Bioabsorbable IM nails (BINs) offer an alternative eliminating need for implant removal surgery. Methods: Between May 2023 and January 2025 we consecutively 161 children poly-L-lactic-co-glycolic acid (PLGA) BINs in two healthcare centers evaluated every reported difficulty complication of resorbable nails. Results: Seven unique peri- postoperative events occurred during study period . Even high success rate, some complications period. The difficulties are independent implant, but to surgical tehnique. Iatrogenic such as bone cortex perforation end split were evaluated, along anatomical variations like focal general medullary cavity stenosis narrowings that affected insertion. Secondary malalignment one early (2 months) refracture recurrant years) also noted. Conclusion: Although reduce a second careful planning, technique, follow-up crucial optimal outcomes. Further research is needed assess long-term results complications.