title: Percutaneous transphyseal intramedullary Kirschner wire pinning: a safe and effective procedure for treatment of displaced diaphyseal forearm fracture in children.
abstract: Percutaneous transphyseal intramedullary Kirschner wire (K-wire) fixation was performed for diaphyseal fracture of the forearm in 84 children. In 60 patients (71%) closed reduction was performed, while in the remaining 24 (29%) closed reduction was supplemented with a mini-open reduction The K-wire was inserted transphyseally through the radial styloid or the Lister tubercle for the radius, and through the tip of the olecranon for the ulna. With an average follow-up of 70 months and a minimum follow-up of 2 years, all the patients reviewed were found to have good functional results; none had nonunion, deep infection, or premature physeal closure. Moreover, initial preoperative translation of the fracture of more than 100% displacement was found to be associated with a significantly higher chance of requiring a mini-open reduction. The authors concluded that percutaneous transphyseal intramedullary K-wire pining for forearm diaphyseal fracture in children is a convenient, effective, and safe operation, without any deleterious effects on subsequent growth of the distal radius.
authors.affiliation: Department of Orthopaedics and Traumatology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong Kong.
authors.forename: Patrick Shu Hang
authors.initials: PS
authors.lastname: Yung
authors.forename: Chor Yin
authors.initials: CY
authors.lastname: Lam
authors.forename: Bobby Kin Wah
authors.initials: BK
authors.lastname: Ng
authors.forename: Tsz Ping
authors.initials: TP
authors.lastname: Lam
authors.forename: Jack Chun Yiu
authors.initials: JC
authors.lastname: Cheng
mesh_terms: D000058:Accidental Falls; D000293:Adolescent; D001864:Bone Wires; D002648:Child; D002675:Child, Preschool; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D006801:Humans; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D012086:Reoperation; D016896:Treatment Outcome; D014458:Ulna Fractures / Q000000981:diagnostic imaging / Q000601:surgery*