Intramedullary Blunt K-Wire Fixation for Pediatric Forearm Fractures

Sur,  Yoo Joon; Cho,  Yong Sin; Park,  Ho Youn

doi:2019.24.2.126

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Arch Hand Microsurg > Volume 24(2); 2019 > Article

Original Article

Archives of Hand and Microsurgery 2019;24(2):126-132.
Published online June 1, 2019.
DOI: https://doi.org/10.12790/ahm.2019.24.2.126

Intramedullary Blunt K-Wire Fixation for Pediatric Forearm Fractures

Yoo Joon Sur, Yong Sin Cho, Ho Youn Park

Department of Orthopedic Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea. hypark@catholic.ac.kr

Received: 27 August 2018 • Revised: 29 April 2019 • Accepted: 1 May 2019

Abstract

Purpose
Intramedullary blunt K-wire fixation was performed for pediatric forearm fractures and we report the clinical results.

Methods
From January 2014 to December 2017, we retrospectively reviewed 35 patients who underwent surgical treatment for pediatric forearm fractures under 14 years of age. The location of the fracture, pre- and postoperative angulation, and the union time were evaluated using simple radiographs. Patients were evaluated for postoperative immobilization period, postoperative range of motion of the wrist and elbow joints, and postoperative complications.

Results
The mean age of the patients was 8.1 years. The fracture site was the both in 22 cases, the radius in 8 cases, and ulna in 5 cases. The location of fracture was 10 cases in distal diaphysis, 22 cases in mid-shaft, and 3 cases in proximal diaphysis. The mean postoperative immobilization period was 5 weeks and bone union was achieved at 4 weeks. Bony union was obtained in all cases and all cases showed normal range of motion. There were no major complications such as re-fracture, pin fracture, or infection.

Conclusion
Intramedullary blunt K-wire fixation for pediatric forearm fractures may be one of the treatment methods that can be considered regardless of the location of the fracture with few complications.

Key Words: Pediatric forearm fractures, Blunt Kirschner wires, Intramedullary fixation

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