Cai Haoqi, Wang Zhigang, Cai Haiqing
Department of Orthopaedic Surgery, Shanghai Children's Medical Centre, Shanghai Jiaotong University School of Medicine, Shanghai, China
Department of Orthopaedic Surgery, Shanghai Children's Medical Centre, Shanghai Jiaotong University School of Medicine, Shanghai, China.
J Int Med Res. 2016 Feb;44(1):122-30. doi: 10.1177/0300060514566650.
To compare the use of crossed K-wire and prebent intramedullary nail techniques for the fixation of distal radius metaphyseal fracture in children.
Intraoperative and follow-up data for children with distal radius metaphyseal fracture, treated using crossed K-wire or prebent intramedullary nail fixation, were retrospectively analysed. Patient groups were matched for age, sex and clinical parameters (fracture location, affected side, fracture type).
Patients treated using prebent intramedullary nail fixation (n = 52) had significantly shorter surgery duration, fewer intraoperative X-radiographs, and lower prevalence of postoperative redisplacement and malalignment deformity than those treated using crossed K-wire fixation (n = 52). Both techniques resulted in similar postoperative complications and recovery of forearm rotation.
Prebent intramedullary nail fixation has a better functional outcome than crossed K-wire fixation in the treatment of distal radial epiphyseal fracture in children.
比较交叉克氏针和预弯髓内钉技术在儿童桡骨远端干骺端骨折固定中的应用。
回顾性分析采用交叉克氏针或预弯髓内钉固定治疗的儿童桡骨远端干骺端骨折患者的术中及随访数据。患者组在年龄、性别和临床参数（骨折部位、患侧、骨折类型）方面进行匹配。
与采用交叉克氏针固定的患者（n = 52）相比，采用预弯髓内钉固定的患者（n = 52）手术时间明显更短，术中X线片数量更少，术后再移位和畸形愈合的发生率更低。两种技术术后并发症及前臂旋转恢复情况相似。
在儿童桡骨远端骨骺骨折的治疗中，预弯髓内钉固定比交叉克氏针固定具有更好的功能结局。
