克氏针预制弯度内固定治疗儿童前臂骨折

目的 ：探讨克氏针预制弯度内固定治疗儿童前臂骨折的临床疗效。方法 ：自2019年10月至2022年12月采用克氏针预制弯度内固定治疗儿童前臂骨折32例，男25例，女7例；年龄3～15(8.0±0.5)岁；左侧18例，右侧14例；桡、尺骨双骨折24例，Monteggia骨折3例，Galeazzi骨折4例，桡骨颈“歪戴帽”骨折1例。记录患者手术时间、术中出血量、X线透视次数、骨折愈合时间和并发症，并采用上肢功能评定表（disabilities of arm,shoulder and hand,DASH）和Grace-Eversman前臂双骨折评价系统评估克氏针预制弯度内固定治疗儿童前臂骨折的临床疗效。结果 ：32例患者获得随访，时间2～12(7.16±2.51)个月。术中出血量（20.68±5.50） ml,X线透视次数（5.80±2.50）次，手术时间（24.34±5.10） min。32例均骨折顺利愈合，愈合时间（8.82±1.62）周。2例出现并发症，其中1例术后拇长伸肌腱断裂，1例术后预制弯度克氏针在骨髓腔旋转导致骨折明显移位。DASH评分0～16(8.32±1.50)分；依据Gr...

Prefabricated curvature internal fixation with Kirschner needle for forearm fracture in children

Objective To explore clinical effect of precast curvature internal fixation with Kirschner needle in treating forearm fracture in children. Methods From October 2019 to December 2022,32 children with forearm fractures were treated with precast curvature internal fixation with Kirkler''s needles,including 25 males and 7 females,aged from 3 to 15 years old with an average of (8.0±0.5) years old,18 patients on the left side and 14 on the right side,24 patients with double fractures of radial and ulna,3 patients with Monteggia fractures,and 4 patients with Galeazzi fractures,and 1 patient with radial neck fracture of crooked cap. Operation time,intraoperative blood loss,C-arm fluoroscopy,fracture healing time and complications were recorded,and disabilities of arm,shoulder and hand (DASH) scale and Grace-Eversman forearm double fracture evaluation system were used to evaluate clinical efficacy of precast curvature internal fixation with Kirschner''s needle for forearm fracture in children. Resluts All 32 patients were followed up for 2 to 12 months with an average of (7.16±2.51) months. Intraoperative blood loss was (20.68±5.50) ml,C-arm fluoroscopy was(5.80±2.50),and operation time was (24.34±5.10) min,fracture healing time was (8.82±1.62) weeks. Two patients occurred complications,including postoperative rupture of extensor pollicis longus tendon in 1 patient and obvious displacement of fracture caused by rotation of prefabricated curvature Kirschler needle on bone marrow cavity in 1 patient. DASH scores ranged from 0 to 16 scores with an average of (8.32±1.50) scores. According to Grace-Eversman double fracture evaluation system,28 patients got excellent result,2 good and 2 fair. Conclusion The treatment of forearm fracture with Kirschner''s needle prefabricated curvature internal fixation has advantages of less trauma,less bleeding,good reduction,stable fixation,fast fracture healing and good functional recovery.