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The Archives of Bone and Joint Surgery، جلد ۱۲، شماره ۳، صفحات ۱۶۷-۱۷۵
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عنوان انگلیسی Single Bone Intramedullary Fixation of the Radius in Pediatric Both Bone Forearm Fractures Using Straight Stainless Steel Kirschner Wire: A Cross-sectional Study on Radiological and Clinical Feature
چکیده انگلیسی مقاله Objectives: We aimed to report radiological and clinical features of single bone intramedullary fixation of the radius in pediatric both bone forearm fractures using straight stainless steel Kirschner (K) wire.Methods: Fifty-eight children (42 boys and 16 girls) referred to our hospital with both bone diaphyseal forearm fractures were operated on by using the single bone rigid K-wire intramedullary fixation and mini-open technique. The mean follow-up time was 8.9 months (6-12).Results: The mean age of the patients was 7.4 years (4-12). More than 2/3 of the fractures were in the right hand. Around 63% of the fractures were in the middle third, 28% in the distal third, and 9% in the proximal third. Moreover, 12% were open type I Gustilo-Anderson fractures. The mean time from injury to surgery was two days (1-4), and the mean length of hospital stay was 2.8 days (2-5). The mean duration of surgery was 24.7 minutes (18-38), and the mean follow-up time was 8.9 months (6-12). All fractures united within 4-16 weeks (mean: 7.62). The cast and implant were removed simultaneously as the radiographic fracture :union:. There was no serious complication. Superficial infection of the pin track and loosening of the pin occurred in three cases (5%), all controlled by antibiotics and timely removal of the pins. Mild restriction of elbow extension (less than 20 degrees) was observed in three cases, which returned to normal at the last follow-up. Limitation of dorsiflexion of the wrist by more than 20° occurred in two patients (35° and 45°), which reverted to 25° and 25°, respectively, at the last follow-up.Conclusion: In both bone forearm fractures in children, open reduction and internal fixation of only the radius with a stainless steel straight Kirschner wire could be a promising method with good results. This retrograde technique of intramedullary fixation is a simple and cost-effective method with minimal complications and acceptable outcomes in children aged 4-12 years. Level of evidence: IV
کلیدواژه‌های انگلیسی مقاله Both bones, forearm, intramedullary fixation, Kirschner wire, Radius
نویسندگان مقاله | Saeed Kokly
Department of Orthopedic Surgery, Joint, Bone and Connective Tissue, Rheumatology Research Center (JBCRC), 5 Azar Hospital, Golestan University of Medical Sciences, Gorgan, Iran


| Alessandro Castagna
Humanitas Cinical and Research Center IRCSS, Rozzano (MI)-Italy. Humanitas University, Department of Biomedical Sciences, Milan, Italy


| Mehdi Aarabi
1 Department of Orthopedic Surgery, Joint, Bone and Connective Tissue, Rheumatology Research Center (JBCRC), 5 Azar Hospital, Golestan University of Medical Sciences, Gorgan, Iran- 3 Joint, Bone, Connective tissue, Reumatology Research Center (JBCRC) of Golestan University of Medical Sciences, Iran
نشانی اینترنتی https://abjs.mums.ac.ir/article_23869.html
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نوع مقاله منتشر شده RESEARCH PAPER
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