Kucukkaya Metin, Kabukcuoglu Yavuz, Tezer Mehmet, Eren Tugrul, Kuzgun Unal
1st Orthopaedic and Traumatology Department, Sisli Etfal Research and Training Hospital, Istanbul, Turkey.
J Orthop Trauma. 2002 May;16(5):340-4. doi: 10.1097/00005131-200205000-00008.
This retrospective review evaluates the efficiency of standard intramedullary Kirschner wires for the treatment of unstable diaphyseal forearm fractures in children.
Retrospective review.
Large teaching and research hospital in Turkey.
Thirty-one patients with diaphyseal forearm fractures were treated by surgical method between 1988 and 1998. The mean age was 12.3 years (range 7 to 17 years). The mean follow-up period was 4.2 years (1 to 6.2 years).
The method of treatment of each forearm fracture was open reduction and intramedullary Kirschner wire fixation using a mini-incision.
Fracture union, growth disturbance of the forearm, and complications were evaluated.
Union was obtained in all cases except two (6.4 percent). No forearm inequality was observed.
Intramedullary fixation is a useful technique for unstable shaft fractures of the forearm in children that can not be treated by closed manipulation.
本回顾性研究评估标准髓内克氏针治疗儿童不稳定型尺桡骨干骨折的疗效。
回顾性研究。
土耳其的大型教学和研究医院。
1988年至1998年间，31例尺桡骨干骨折患者接受了手术治疗。平均年龄12.3岁（范围7至17岁）。平均随访期为4.2年（1至6.2年）。
每例尺桡骨骨折均采用小切口切开复位及髓内克氏针固定治疗。
评估骨折愈合、前臂生长紊乱及并发症情况。
除2例（6.4%）外，所有病例均实现骨折愈合。未观察到前臂不等长情况。
髓内固定是治疗儿童无法通过闭合手法复位的不稳定型尺桡骨干骨折的有效技术。
