Qidwai S A, Khattak Z K
Department of Orthopedics, King Khalid Hospital, Najran, Kingdom of Saudi Arabia.
J Trauma. 2000 Feb;48(2):256-9. doi: 10.1097/00005373-200002000-00010.
We present a retrospective analysis of a case series to evaluate closed intramedullary Kirschner wire (K-wire) fixation as a surgical technique in the treatment of femoral shaft fractures in children.
Fifty-three femoral shaft fractures (at various levels) were fixed by using closed intramedullary K-wires. The patient was placed supine on an orthopedic traction table. Under fluoroscopic control, two K-wires (2.5-3.5 mm thick) were introduced from distal metaphysis to the proximal metaphysis, one each, from medial and lateral cortices. In three distal fractures, K-wires were inserted antegrade from the proximal to distal metaphysis through the lateral cortex. Early mobilization and weight bearing was allowed. Mean hospital stay was 6.5 days, and K-wires were removed after a mean of 5.6 months. The study included seven open fractures as well.
Sound unions were achieved between 6 and 10 weeks without any significant complication.
Closed intramedullary K-wire fixation for femoral shaft fractures in children is a simple surgical technique that has excellent clinical and functional results.
我们对一组病例进行回顾性分析，以评估闭合髓内克氏针固定术作为治疗儿童股骨干骨折的一种手术技术。
采用闭合髓内克氏针对53例不同部位的股骨干骨折进行固定。患者仰卧于骨科牵引床上。在透视控制下，从远端干骺端向近端干骺端分别经内侧和外侧皮质插入两根克氏针（直径2.5 - 3.5毫米）。对于3例远端骨折，克氏针经外侧皮质从近端干骺端向远端干骺端顺行插入。允许早期活动和负重。平均住院时间为6.5天，克氏针平均在5.6个月后取出。该研究也包括7例开放性骨折。
在6至10周内实现了牢固愈合，且无任何严重并发症。
闭合髓内克氏针固定术治疗儿童股骨干骨折是一种简单的手术技术，具有出色的临床和功能效果。
