Percutaneous Kirschner Wire fixation in distal radius metaphyseal fractures in children: does it change the overall outcome?

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dc.authoridOzcan, Mert/0000-0002-2009-1881
dc.contributor.authorOzcan, M.
dc.contributor.authorMemisoglu, S.
dc.contributor.authorCopuroglu, C.
dc.contributor.authorSaridogan, K.
dc.date.accessioned2024-06-12T11:13:22Z
dc.date.available2024-06-12T11:13:22Z
dc.date.issued2010
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground and Objectives: The aim of this study was to determine the effect of Kirschner wire fixation after closed reduction of radial metaphyseal fractures with high risk of redisplacement. Patients and Methods: In this retrospective study 40 cases were studied in two groups. In group 1 (n=20, average age 11.2 years), K-wire fixation was performed after closed reduction. In group 2 (n=20 average age 10.1 years), only plaster immobilization was applied following closed reduction. The compared clinical and radiological parameters were, pain, limb deformitiy, range of motion of the wrist, angulation of the fracture site, radial distal epipihyseal angle and severity of translation. Results: Redisplacement rate was 10% in group 1 and 50% in group 2. This shows, Kirschner wire fixation has a positive effect in the maintanence of the initial reduction (p<0.05). Age, gender, reduction quality had no effect on redisplacement (p>0.05). Concerning the severity of translation, the risk of redisplacement increases in stage 3 (50%-100%) and stage 4 (>100%) fractures (p<0,05). Concomitant complete ulnar fracture has also redisplacement risk (p<0.05). Redisplacement risk increases when the distance of fracture line to epiphyseal line was between 11-20 mm (p<0.05). There was no significiant difference between two groups after last evaluation based on radiological parameters and clinical results (p>0.05). Conclusions: This study shows that Kirschner wire fixation prevents redisplacement in early follow-up of first three weeks but there is no superiority after 20 months follow-up in distal metaphyseal fractures of children. Hippokratia 2010; 14 (4): 265-270en_US
dc.identifier.endpage270en_US
dc.identifier.issn1108-4189
dc.identifier.issue4en_US
dc.identifier.pmid21311635en_US
dc.identifier.scopus2-s2.0-78149395863en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage265en_US
dc.identifier.urihttps://hdl.handle.net/20.500.14551/23521
dc.identifier.volume14en_US
dc.identifier.wosWOS:000282438700008en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLithographiaen_US
dc.relation.ispartofHippokratiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectRadiusen_US
dc.subjectMetaphysealen_US
dc.subjectFractureen_US
dc.subjectKirschner Wireen_US
dc.subjectRandomized Controlled-Trialen_US
dc.subjectPediatric Forearm Fractureen_US
dc.subjectClosed Reductionen_US
dc.subjectRedisplacementen_US
dc.subjectManagementen_US
dc.titlePercutaneous Kirschner Wire fixation in distal radius metaphyseal fractures in children: does it change the overall outcome?en_US
dc.typeArticleen_US

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