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This retrospective study evaluated the results of intramedullary Kirschner wire fixation in pediatric forearm fractures and the effects on the wrist. Twenty-seven patients with forearm fractures managed by limited open reduction and intramedullary K-wire fixation were included in this study. Differences in ulnar variance were examined on wrist radiographs. Average ulnar variance was −3.23±2.14 mm on the operated wrist and −2.30±2.06 mm on the contralateral wrist (P<. 05).