[Prefabricated curvature internal fixation with Kirschner needle for forearm fracture in children].

Autor:	Song YQ; Department of Orthopaedics, Song Zunxiu Memorial Hospital, Chenzhou 424100, Hunan, China., Song RL; Department of Orthopaedics, Song Zunxiu Memorial Hospital, Chenzhou 424100, Hunan, China., Ou YQ; Department of Orthopaedics, Song Zunxiu Memorial Hospital, Chenzhou 424100, Hunan, China., Chen ZG; Department of Orthopaedics, Song Zunxiu Memorial Hospital, Chenzhou 424100, Hunan, China.
Jazyk:	čínština
Zdroj:	Zhongguo gu shang = China journal of orthopaedics and traumatology [Zhongguo Gu Shang] 2024 Mar 25; Vol. 37 (3), pp. 311-5.
DOI:	10.12200/j.issn.1003-0034.20230569
Abstrakt:	Objective: To explore clinical effect of precast curvature internal fixation with Kirschner needle in treating forearm fracture in children. Methods: From October 2019 to December 2022,32 children with forearm fractures were treated with precast curvature internal fixation with Kirkler's needles,including 25 males and 7 females,aged from 3 to 15 years old with an average of (8.0±0.5) years old,18 patients on the left side and 14 on the right side,24 patients with double fractures of radial and ulna,3 patients with Monteggia fractures,and 4 patients with Galeazzi fractures,and 1 patient with radial neck fracture of crooked cap. Operation time,intraoperative blood loss,C-arm fluoroscopy,fracture healing time and complications were recorded,and disabilities of arm,shoulder and hand (DASH) scale and Grace-Eversman forearm double fracture evaluation system were used to evaluate clinical efficacy of precast curvature internal fixation with Kirschner's needle for forearm fracture in children. Results: All 32 patients were followed up for 2 to 12 months with an average of (7.16±2.51) months. Intraoperative blood loss was (20.68±5.50) ml,C-arm fluoroscopy was(5.80±2.50),and operation time was (24.34±5.10) min,fracture healing time was (8.82±1.62) weeks. Two patients occurred complications,including postoperative rupture of extensor pollicis longus tendon in 1 patient and obvious displacement of fracture caused by rotation of prefabricated curvature Kirschler needle on bone marrow cavity in 1 patient. DASH scores ranged from 0 to 16 scores with an average of (8.32±1.50) scores. According to Grace-Eversman double fracture evaluation system,28 patients got excellent result,2 good and 2 fair. Conclusion: The treatment of forearm fracture with Kirschner's needle prefabricated curvature internal fixation has advantages of less trauma,less bleeding,good reduction,stable fixation,fast fracture healing and good functional recovery.
Databáze:	MEDLINE
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