Stabilization of forearm fractures in children using intramedullary Kirschner wires
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2005, Vol 7, Issue 2
Abstract
Background. Minimally invasive intramedullary stabilization is a widely accepted method for treating long bone fractures in children. Indications concerning age and type of fracture have increased in the last decade. The aim of our study was to assess outcome in intramedullary Kirschner wire stabilization used to treat forearm fractures in children.Material and methods. From 1997 to 2004 intramedullary stabilisation was performed in 118 patients, 27 girls and 91 boys, ranging in age from 1 to 17 years (average 10.7 years). There were 191 fractured bones, 116 radius and 75 ulna. The procedure was done under general anesthesia. After manual reposition, the fracture was stabilized with an intramedullary Kirschner wire introduced under X-ray control.Results. There were no intraoperative complications. The mean duration of hospitalization in cases with isolated forearm fracture was 1.6 days. In 5 cases (4.2%) a minor soft tissue infection at the point of wire introduction was observed. There were no bone infections or damage to growth cartilage. In 112 operated children (94.9%), a good clinical outcome was achieved, while in 6 cases (5.1%) the outcome was satisfactory.Conclusions. Intramedullary Kirschner wire stabilization is a technically easy minimally invasive procedure. The method gives good clinical outcomes and decreases hospitalization, treatment costs, and stress connected with hospitalization. Intramedullary stabilization should be method of choice in the surgical treatment of forearm fractures in children.
Authors and Affiliations
Wojciech Korlacki, Józef Dzielicki, Jacek Ciekalski
Keywords
Related Articles
- EP ID EP56491
- DOI -
- Views 66
- Downloads 0
The Body Mass Index (BMI) and rehabilitation outcome in patients with degenerative changes of the knee joint
Background. Given that obesity is the primary risk factor and pain the primary symptom of degenerative disease of the knee joint, we undertook to study the dependency between the Body Mass Index (BMI) and pain symptoms,...
Heterotopic ossification in patients with hip osteoarthritis below forty years old after total hip replacement
Summary Introduction: Even though heterotopic ossification (HO) is most often asymptomatic in patients after total hip replacement (THR), it remains a serious problem in orthopaedics as it is observed in nearly all opera...
Occipital Condyle Fractures in Adolescents
Background. Occipital condyle fractures are rare injuries of the cranio-cervical junction seen more often in adults than in children. They are best diagnosed with CT of the cranio-cervical junction. Treatment depends on...
Operative treatment of articular calcaneal fractures
Introduction: although pioneers such as Leriche in 1921 and Judet in 1954 introduced screw or plate fixation of the broken calcaneus, surgical treatment using open anatomical reduction and stable internal osteosynthesis...
Funkcjonowanie i jakość życia po protezoplastyce stawu biodrowego
Wstęp. Koksartroza jest przewlekłą chorobą układu mięśniowo-szkieletowego, powodującą silne dolegliwości bólowe oraz znaczne ograniczenie sprawności motorycznej. Protezoplastyka stawu biodrowego stanowi jedną z najbardz...