Clinical effect of Kirschner wire intramedullary fixation in the treatment of pediatric both-bone forearm fractures at high altitude area.
10.12200/j.issn.1003-0034.2023.07.005
- Author:
Dunzhu PUBU
1
;
Pingcuo ZHAXI
1
;
Ouzhu DANZENG
1
;
Sang GE
1
;
Jie LUO
1
;
Duo MEI
1
;
Jun YUAN
2
,
3
;
Xin-Jun ZHANG
2
,
3
;
Xiao-Gang HUANG
2
,
3
;
Lei DAI
2
,
4
;
Chao LIU
5
Author Information
1. Dingri People's Hospital of Tibet Autonomous Region, Shigatse 858200, Xizang Zizhiqu, China.
2. Dingri People's Hospital of Tibet Autonomous Region, Shigatse 858200, Xizang Zizhiqu, China
3. Sijing Hospital of Shanghai Songjiang District, Shanghai 201601, China.
4. Shanghai Songjiang District Central Hospital, Shanghai 201600, China.
5. Shanghai Songjiang District Central Hospital, Shanghai 201600, China.
- Publication Type:Journal Article
- Keywords:
Child;
Kirschner wire fixation;
Plateau area;
Ulnar and radial fractures
- MeSH:
Male;
Female;
Humans;
Child;
Child, Preschool;
Adolescent;
Bone Wires;
Forearm;
Altitude;
Treatment Outcome;
Fractures, Bone/surgery*;
Fracture Fixation, Internal/methods*;
Radius Fractures/surgery*;
Fracture Fixation, Intramedullary/methods*
- From:
China Journal of Orthopaedics and Traumatology
2023;36(7):619-622
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the clinical effect of Kirschner wire intramedullary fixation in the treatment of both-bone forearm fractures in children of high altitude area.
METHODS:From August 2020 to December 2021, 19 children were treated with Kirschner wire intramedullary fixation including 11 males and 8 females, aged from 4 to 13 years old with an average of (8.16±2.71) years old. The course of disease was 1 to 10 days, with a mean of (4.11±2.51) d. First, close reduction was performed. If the reduction was unsuccessful, limited open reduction was performed, followed by Kirschner wire intramedullary fixation of the radius and ulna. The fracture healing was evaluated by X-ray after operation, and the curative effect was evaluated by Anderson forearm function score standard.
RESULTS:The wound healed well after operation, 2 cases had clinical manifestations of needle tail irritation after operation, and the symptoms disappeared after removing the internal fixation. The average follow-up time was(7.68±3.50) months (3 to 14 months). X-ray showed that all fracture healing in follow-up, Anderson forearm function score showed excellent in 16 cases, good in 2 cases and fair in 1 case at the final follow-up.
CONCLUSION:Children with fractures in plateau areas often have delayed medical treatment, lack of medical conditions and insufficient compliance. Based on these characteristics, Kirschner wire intramedullary fixation for the treatment of children's double forearm fractures has the advantages of small injury and rapid recovery. It is a kind of operation method that can be popularized.
