Sahu Ramji Lal, Ranjan Rajni
Department of Orthopaedics, SMS&R, Sharda University, Greater Noida, UP, India.
Chin J Traumatol. 2016 Dec 1;19(6):353-357. doi: 10.1016/j.cjtee.2016.08.003.
To evaluate the efficacy of intramedullary Kirschner wires for the treatment of unstable tibial shaft fractures in children.
This prospective study was conducted at the Department of Orthopaedic Surgery in Maharishi Markandeshwar Medical College from June 2005 to June 2010. Sixty-six children having closed fracture of the tibial shaft with a mean age of 7.7 years (range, 2-14 years) were recruited from emergency and outpatient department. They were treated with percutaneous intramedullary Kirschner wires. The clinical results of our study were rated on the basis of the criteria of union, nonunion, delayed union or malunion. All children were followed for one year.
Children achieved union in a mean time of 8 weeks (range, 6-10 weeks). Postoperatively, three children (4.55%) had delayed union, one (1.52%) valgus deformity of lower leg, three (4.55%) post- operative knee pain and twelve (18.18%) skin irritation at pin site.Wires were removed after 8-22 weeks without any complications. No patient was lost to follow-up. The results were excellent in 95.45% and good in 4.55% children.
This technique is cost-effective, simple, quick to perform, safe and reliable and avoids pro- longed hospitalization with good results.
评估髓内克氏针治疗儿童不稳定胫骨干骨折的疗效。
本前瞻性研究于2005年6月至2010年6月在玛哈希·马尔坎德什瓦尔医学院骨科进行。从急诊科和门诊招募了66名胫骨干闭合性骨折的儿童，平均年龄7.7岁（范围2 - 14岁）。他们接受了经皮髓内克氏针治疗。我们研究的临床结果根据愈合、不愈合、延迟愈合或畸形愈合的标准进行评定。所有儿童均随访一年。
儿童平均在8周（范围6 - 10周）达到骨折愈合。术后，3名儿童（4.55%）出现延迟愈合，1名（1.52%）小腿外翻畸形，3名（4.55%）术后膝关节疼痛，12名（18.18%）针孔处皮肤刺激。克氏针在8 - 22周后取出，无任何并发症。无患者失访。95.45%的儿童结果为优，4.55%为良。
该技术具有成本效益、操作简单、快速、安全可靠，避免了长期住院，效果良好。
