Uğur Mumcu Mahallesi, Belediye Sokak, No. 7 Sultangazi/İSTANBUL, Haseki Education Research Hospital, Istanbul, Turkey.
University of Missouri-Kansas City, Department of Orthopaedic Surgery, Kansas City, USA.
Int J Clin Pract. 2022 Mar 27;2022:9317837. doi: 10.1155/2022/9317837. eCollection 2022.
The purpose of this study was to compare the effects of using Kirschner-wire (K-wire) or titanium elastic nails (TEN) on the functional results of patients treated with the Métaizeau closed reduction technique, which is a popular treatment modality for pediatric radial neck fractures (PRNF).
Patients who underwent the Métaizeau closed reduction technique for PRNF between May 2017 and May 2019 were assessed retrospectively. The Judet classification was used for the PRNF classification. The study consisted of patients who underwent the Métaizeau technique for Judet Type IV PRNFs and had at least 12 months of follow-up.
This study enrolled a total of 43 patients, 22 females and 21 males. Their mean age was 8.69 ± 2.3 at the time of surgery. The mean MEPS of patients undergoing K-wire surgery was 89.50, while the mean MEPS of patients undergoing TEN surgery was 92.83. There was no statistically significant difference between the two groups in terms of MEPS. When the complication rates of the two groups were evaluated, there was no statistically significant difference between them. The cost per patient for TEN was $40. The cost per patient for the K-wire was $1.
The effect of K-wire or TEN used in the Métaizeau closed reduction technique on clinical outcomes is similar, and K-wire is more cost-effective.
本研究旨在比较克氏针（K 线）和钛弹性钉（TEN）在采用 Métaizeau 闭合复位技术治疗儿童桡骨颈骨折（PRNF）患者的功能结果方面的影响，该技术是治疗 PRNF 的一种流行方法。
回顾性评估了 2017 年 5 月至 2019 年 5 月期间接受 Métaizeau 闭合复位技术治疗的 PRNF 患者。PRNF 采用 Judet 分类。本研究包括接受 Métaizeau 技术治疗 Judet 型 IV PRNF 且随访至少 12 个月的患者。
本研究共纳入 43 例患者，女性 22 例，男性 21 例。手术时的平均年龄为 8.69±2.3 岁。接受 K 线手术的患者的 MEPS 平均为 89.50，而接受 TEN 手术的患者的 MEPS 平均为 92.83。两组之间在 MEPS 方面无统计学差异。当评估两组的并发症发生率时，两组之间无统计学差异。TEN 的每位患者成本为 40 美元。K 线的每位患者成本为 1 美元。
在 Métaizeau 闭合复位技术中使用 K 线或 TEN 的效果相似，且 K 线更具成本效益。
