NDLI: Open intramedullary Kirschner wire versus screw and plate fixation for unstable forearm fractures in children.

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Open intramedullary Kirschner wire versus screw and plate fixation for unstable forearm fractures in children.

Content Provider	Semantic Scholar
Author	Kose, Ozkan Deniz, Gokmen Yanik, Serhat Gungor, Mustafa Islam, Nazir C.
Copyright Year	2008
Abstract	PURPOSE To compare the outcomes of intramedullary Kirschner wire versus screw and plate fixation for unstable forearm fractures in children aged older than 10 years. METHODS Records of 32 children aged 10 to 15 (mean, 12) years with displaced fractures of the radius and ulna were retrospectively reviewed. 17 boys and 4 girls underwent intramedullary Kirschner wiring, whereas 10 boys and one girl underwent plating. All patients had been initially treated with closed reduction and casting. Indications for surgical intervention were fractures with angulation of >10 degrees and total displacement. Patients were followed up for a mean of 24 (range, 13-40) months. Angulation and range of movements of the elbow, wrist, and forearm, as well as clinical and cosmetic results were compared. RESULTS Both treatments achieved excellent clinical outcomes, but intramedullary Kirschner wiring resulted in better cosmesis, shorter operating times, easier hardware removal, and lower implant costs. CONCLUSION Intramedullary Kirschner wiring is a better option than plating for the treatment of unstable forearm fractures in older children.
Starting Page	120
Ending Page	121
Page Count	2
File Format	PDF HTM / HTML
Alternate Webpage(s)	http://www.josonline.org/index.php/JOS/article/view/487/423
PubMed reference number	18725665v1
Volume Number	16
Issue Number	2
Journal	Journal of orthopaedic surgery
Language	English
Access Restriction	Open
Subject Keyword	Bone structure of radius Bone structure of ulna Movement Pathological fracture Patients Psychologic Displacement Unstable Medical Device Problem forearm fracture
Content Type	Text
Resource Type	Notes

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