Stürmer K M, Letsch R, Koeser K, Schmit-Neuerburg K P
Abteilung für Unfallchirurgie, Universitätsklinikum Essen.
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1990:647-56.
The Kirschner wire fixation is mainly indicated in unstable types of Colles' and children's fractures of the distal radius. Out of 2760 distal radius fractures (1975-1989) 626 (20.7%) were treated operatively including 326 (11.8%) with K-wires. Primary operation was performed in 53.5% immediately after trauma. Exposing the sensitive radial nerval paths, 3-4 K-wires were inserted from the radial and the dorsoulnar aspect. The K-wire ends were covered subcutaneously. The clinical evaluation of a series of 226 patients according to the score of Lidström presented 79% excellent and good, 16% fair and 5% poor results. The clinical results correlate to the radiocarpal angle and radial shortening. Because of additional injuries to the ulnar complex give worse results in reposition, the ulnar styloid should be fixed.
克氏针固定主要适用于Colles骨折的不稳定型及儿童桡骨远端骨折。在1975年至1989年间的2760例桡骨远端骨折中，626例（20.7%）接受了手术治疗，其中326例（11.8%）采用了克氏针治疗。53.5%的患者在创伤后立即进行了一期手术。暴露敏感的桡神经路径后，从桡侧和背尺侧插入3至4根克氏针。克氏针末端埋于皮下。根据Lidström评分对226例患者进行的临床评估显示，79%的结果为优和良，16%为中，5%为差。临床结果与桡腕关节角度和桡骨短缩相关。由于尺骨复合体的额外损伤会导致复位效果较差，因此应固定尺骨茎突。
