Background. Minimally invasive intramedullary stabilization is a widely accepted method for treating long bone fractures in children. Indications concerning age and type of fracture have increased in the last decade. The aim of our study was to assess outcome in intramedullary Kirschner wire stabilization used to treat forearm fractures in children. Material and methods. From 1997 to 2004 intramedullary stabilisation was performed in 118 patients, 27 girls and 91 boys, ranging in age from 1 to 17 years (average 10.7 years). There were 191 fractured bones, 116 radius and 75 ulna. The procedure was done under general anesthesia. After manual reposition, the fracture was stabilized with an intramedullary Kirschner wire introduced under X-ray control. Results. There were no intraoperative complications. The mean duration of hospitalization in cases with isolated forearm fracture was 1.6 days. In 5 cases (4.2%) a minor soft tissue infection at the point of wire introduction was observed. There were no bone infections or damage to growth cartilage. In 112 operated children (94.9%), a good clinical outcome was achieved, while in 6 cases (5.1%) the outcome was satisfactory. Conclusions. Intramedullary Kirschner wire stabilization is a technically easy minimally invasive procedure. The method gives good clinical outcomes and decreases hospitalization, treatment costs, and stress connected with hospitalization. Intramedullary stabilization should be method of choice in the surgical treatment of forearm fractures in children.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Child Maltreatment Evaluations Following Out-of-Hospital Cardiac Arrests.
Acad Pediatr
January 2025
Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Safe Place and PolicyLab, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Objectives: In children admitted after an out-of-hospital cardiac arrest (OHCA), this study 1) determines the proportion that undergo: physical abuse and toxin exposure evaluation, child protection team (CPT) consultation, and child protective services (CPS) referral, and 2) evaluates the association between demographic, social, clinical characteristics with CPT consultation and CPS referral.
Methods: Retrospective chart review was conducted of children < 4 years old admitted following an OHCA between November 2012 and February 2023. Associations between demographics, caregiver social risk factors, and clinical characteristics with CPT consultation and CPS referral were examined using logistic regression.
Comparison of bioabsorbable screw versus metallic screw fixation for tibial tubercle fractures in adolescents: a retrospective cohort study.
BMC Musculoskelet Disord
January 2025
Department of Orthopedics, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, 100045, China.
Background: Displaced tibial tubercle (TT) fractures in adolescents are typically treated with open reduction and internal fixation. While metallic screw (MS) fixation provides strong stability, it often results in a high incidence of postoperative screw head protrusion or irritation, leading to additional removal surgery. Bioabsorbable screw (BS) fixation presents an alternative that may avoid these issues, though its stability has not yet been extensively documented in the literature.
View Article and Find Full Text PDFTreatment of unstable pelvic fractures with double INFIX.
BMC Musculoskelet Disord
January 2025
Department of Orthopaedics & Traumatology, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, Zhejiang, 310006, China.
Background: This study investigated the clinical efficacy of Double INFIX for the treatment of unstable pelvic fractures.
Methods: We performed a retrospective analysis of 23 patients with unstable pelvic fractures treated using the Double INFIX minimally invasive technique. The cohort included five cases of Tile B1 type, eight cases of B2 type, six cases of B3 type, three cases of C1 type and one case of type C2.
Application of deep learning model based on unenhanced chest CT for opportunistic screening of osteoporosis: a multicenter retrospective cohort study.
Insights Imaging
January 2025
Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, China.
Introduction: A large number of middle-aged and elderly patients have an insufficient understanding of osteoporosis and its harm. This study aimed to establish and validate a convolutional neural network (CNN) model based on unenhanced chest computed tomography (CT) images of the vertebral body and skeletal muscle for opportunistic screening in patients with osteoporosis.
Materials And Methods: Our team retrospectively collected clinical information from participants who underwent unenhanced chest CT and dual-energy X-ray absorptiometry (DXA) examinations between January 1, 2022, and December 31, 2022, at four hospitals.
A novel treatment strategy with hyperbaric oxygen of chronic osteomyelitis and pseudoarthrosis in a child with congenital hereditary sensory and autonomic neuropathy type 4 congenital insensitivity to pain with anhidrosis syndrome: a case report.
J Med Case Rep
January 2025
Department of Orthopaedics, Sahlgrenska University Hospital, Gothenburg, Sweden.
Background: Congenital insensitivity to pain with anhidrosis is a rare but devastating hereditary disease. Congenital insensitivity to pain with anhidrosis is caused by a mutation in the neurotrophic receptor tyrosine kinase 1 gene (NRTK1). The condition is characterized by multiple injuries, recurrent infections, and mental retardation.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!