Qidwai S A
Department of Orthopaedics, King Khalid Hospital, P.O. Box 1120, Najran, Kingdom of Saudi Arabia.
J Trauma. 2001 Feb;50(2):303-7. doi: 10.1097/00005373-200102000-00017.
This article presents a retrospective analysis of a case series of diaphyseal forearm fractures in children treated with intramedullary Kirschner wires (K-wires).
Seventy-four diaphyseal forearm fractures in children (63 male subjects and 11 female subjects) with a mean age of 11 years (range, 4-15 years) were treated with percutaneous intramedullary K-wires. Under fluoroscopic control, a standard K-wire (diameter, 1.5-2.0 mm, depending on the age) was introduced into the distal radial metaphysis, proximal to the epiphysis. The K-wire was then advanced proximally across the fracture. For the ulna, the wire was introduced antegrade from the proximal end. The tip of the K-wire was prebent to 30 degrees to facilitate closed reduction of the displaced fracture.
All fractures healed between 6 and 10 weeks with minimum complications and excellent clinical results.
This surgical technique is convenient, effective, and safe for treating displaced diaphyseal forearm fractures in children.
本文对采用髓内克氏针治疗的儿童尺骨干骨折病例系列进行回顾性分析。
对74例儿童尺骨干骨折（63例男性和11例女性）进行经皮髓内克氏针治疗，平均年龄11岁（范围4 - 15岁）。在透视控制下，将标准克氏针（直径1.5 - 2.0 mm，依年龄而定）插入桡骨远端干骺端，靠近骨骺。然后将克氏针向近端推进穿过骨折部位。对于尺骨，克氏针从近端顺行插入。克氏针尖端预弯30度以利于移位骨折的闭合复位。
所有骨折在6至10周内愈合，并发症最少，临床效果极佳。
该手术技术治疗儿童移位尺骨干骨折方便、有效且安全。
