Everyone who has treated many fractures in the middle third of both bones of the forearm realizes the difficulty of reducing and maintaining these fractures in proper position. Even in skilled hands several manipulations may have to be carried out before a satisfactory and acceptable position can be obtained in both bones.
The use of the Kirschner wire through the lower end of the radius and the upper end of the ulna to maintain traction is attended with certain difficulties and the possibility of pin infection. Internal fixation by means of a metal plate is also a difficult procedure, particularly in children because the bones are quite small and do not lend themselves to plating.
Intramedullary use of the Kirschner wire in fractures of the clavicle has been reported on many occasions with excellent results, and it has been suggested that intramedullary use of the Kirschner wire might prove effective in fractures of both bones of the forearm. However, I cannot find any article in the literature in which this method has been previously employed for this type of fracture. In cases in which open operation was indicated in order to procure a satisfactory reduction, I found the use of intermedullary fixation so simple in application and so gratifying in result that I wish to report two cases.
Case 1. A boy, 14 years of age, received fractures of both bones of the forearm. When he was referred to me, three unsuccessful attempts at reduction had been made. . .