Ormsby Neal M, Walton Roger D M, Robinson Simon, Brookes-Fazakerly Stephen, Chang Fernando Yuen, McGonagle Lorcan, Wright David
Alder Hey Children's Hospital, Liverpool, UK.
J Pediatr Orthop B. 2016 Jan;25(1):69-73. doi: 10.1097/BPB.0000000000000226.
There is little consensus on whether Kirschner wire (K-wire) burial is preferable in the management of paediatric lateral humeral condyle fractures. We identified 124 patients from May 2008 to August 2014. Sixty received buried K-wires and 64 received unburied wires. We found no significant difference in the infection rates between groups, but a high rate of skin erosion (23%) in the buried group, with a subsequent high rate of infection in this subgroup (40%). We found a strong association of wire erosion following early surgery. There is a considerable cost saving associated with using unburied wires. We therefore recommend the routine use of unburied wires.
在小儿肱骨外侧髁骨折的治疗中，对于克氏针（K 针）是否应埋入存在很少的共识。我们确定了 2008 年 5 月至 2014 年 8 月期间的 124 例患者。60 例接受了 K 针埋入，64 例接受了 K 针未埋入。我们发现两组之间的感染率没有显著差异，但埋入组的皮肤侵蚀率较高（23%），该亚组随后的感染率也较高（40%）。我们发现早期手术后 K 针侵蚀之间存在强烈关联。使用未埋入的 K 针可节省大量成本。因此，我们建议常规使用未埋入的 K 针。
