| Autor: |
Ormsby, Neal M., Walton, Roger D.M., Robinson, Simon, Brookes-Fazakerly, Stephen, Yuen Chang, Fernando, McGonagle, Lorcan, Wright, David |
| Zdroj: |
Journal of Pediatric Orthopaedics: Part B; January 2016, Vol. 25 Issue: 1 p69-73, 5p |
| Abstrakt: |
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. |
| Databáze: |
Supplemental Index |
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