title: Percutaneous K-wire fixation for femoral shaft fractures in children.
abstract: From November 2001 to January 2004, sixty-five children with femoral shaft fractures were treated by closed reduction and percutaneous K-wire fixation. The aims of the treatment were early mobilisation, easy nursing care and rapid rehabilitation. Kirschner wires were introduced under image-intensifier control from the distal or proximal metaphyseal region of the femur, avoiding injury to the physeal plate. The average duration of hospital stay was 4 days, including training for non-weight bearing axillary crutch walk. Union was achieved in all cases between 6 and 10 weeks (average, 8 weeks). No significant complications were encountered, except refracture in one case. K-wires were removed after an average of 5 months. This is a simple and easy-to-learn technique with the added advantage of cost effectiveness.
authors.affiliation: Department of Orthopaedic Surgery, Jawahal Lal Nehru Medical College, Aligarh, India.
authors.forename: Abdul Qayyum
authors.initials: AQ
authors.lastname: Khan
authors.forename: Mohd K A
authors.initials: MK
authors.lastname: Sherwani
authors.forename: Saurabh
authors.initials: S
authors.lastname: Agarwal
mesh_terms: D000293:Adolescent; D001864:Bone Wires; D002648:Child; D002675:Child, Preschool; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D005592:Fracture Fixation / Q000379:methods*; D006801:Humans; D008297:Male; D016896:Treatment Outcome