Palmar approach with Kirschner-wire fixation in the treatment of children's distal radius extension type fracture

Zu-Jie Hu; Ming Li; Xing Liu; Chuan-Kang Liu

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Palmar approach with Kirschner-wire fixation in the treatment of children's distal radius extension type fracture

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Purpose:To explore the advantages of palmar approach with Kirschner-wire (K-wire) fixation in the treatment of children's distal radius extension type fracture.Methods:Thirty patients,average age of 8.5 years ranging from 5 to 13 years,with distal radius extension type fracture and undergoing a failed manual reposition in our hospital were included,and treated by palmar approach with K-wire fixation between May 2014 and December 2017.Among these patients (21 male and 9 female),5 patients had chronic injuries over 10 days,and 6 patients had fracture of the distal radius epiphysis.The time between injury and treatment ranged from 1 to 30 days.Among them,11 patients with right-sided fractures and 19 patients with left-sided fractures were operated via the palmar longitudinal incision approach.Results:The results were evaluated after an average of 18 months ranging from 5 to 36 months after operation.The recovery time of fracture was from 4 to 8 weeks and all incisions were primary healing with an average of 6 weeks.Nonunion,delayed union,early closure of distal radial epiphysis,and wrist varus/valgus deformity were not found in all the cases.Based on Gartland and Wereley wrist score assessment undertaken three months after operation,excellent scores were achieved in 24 cases,good scores in 3 cases,acceptable scores in 3 cases.Conclusion:The palmar approach with K-wire fixation via a front longitudinal incision in the treatment of children's distal radius extension type fracture has following advantages:(1) easy to reposition for both fresh and old fractures;(2) less damage to surrounding tissues and epiphysis;(3) quick recovery.It is suitable to treat children's distal radius extension type fracture.

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《中华创伤杂志（英文版）》 |2018年第5期|301-303|共3页
作者
Zu-Jie Hu; Ming Li; Xing Liu; Chuan-Kang Liu;
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Department of Pediatric Orthopaedic Ward 1, Children's Hospital of Chongqing Medical University, Chongqing 400014, China;

Department of Pediatric Orthopaedic Ward 1, Children's Hospital of Chongqing Medical University, Chongqing 400014, China;

Department of Pediatric Orthopaedic Ward 1, Children's Hospital of Chongqing Medical University, Chongqing 400014, China;

Department of Pediatric Orthopaedic Ward 1, Children's Hospital of Chongqing Medical University, Chongqing 400014, China;

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Palmar approach with Kirschner-wire fixation in the treatment of children's distal radius extension type fracture

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