title: Percutaneous k-wire fixation for femur shaft fractures in children: a treatment concepts for developing countries.
abstract: BACKGROUND
  Fractures shaft femur is a major cause of morbidity and mortality in patients with lower extremity injuries.
  
  
  OBJECTIVE
  The aim of this study was to evaluate the efficacy of intramedullary Kirschner wires for the treatment of femoral shaft fracture in children.
  
  
  METHODS
  This prospective study was conducted in the Department of Orthopaedic surgery in M. M. Medical College from June 2005 to June 2010. Sixty eight children with a mean age of 7.7 years (range, 2-14 years) were recruited from Emergency and out patient department having closed fracture of femoral shaft. All patients were operated under general anesthesia. All patients were followed for twelve months.
  
  
  RESULTS
  Out of sixty eight patients, sixty four patients underwent union in 42 to 70 days with a mean of 56 days. Touch down weight bearing was started on 2(nd) post-operative day. Complications found in four patients who had insignificant delayed union which were united next three weeks. Intramedullary Kirschner-wires were removed after an average of five months without any complications. The results were excellent in 94.1% (64/68) and good in 5.8% (4/68).
  
  
  CONCLUSIONS
  This technique is simple, quick to perform, safe and reliable and avoids prolonged hospitalization with good results and is economical.
authors.affiliation: Department of Orthopedics, SMS and RI, Sharda University, Greater Noida, Uttar Pradesh, India.
authors.forename: Rl
authors.initials: R
authors.lastname: Sahu
keywords: Children; Femoral shaft fractures; Kirschner wires
references.citation: JNMA J Nepal Med Assoc. 2010 Jul-Sep;49(179):228-31
references.pmid: 22049829
references.citation: J Pediatr Orthop. 1996 Sep-Oct;16(5):602-5
references.pmid: 8865045
references.citation: J Orthop Trauma. 1989;3(2):133-41
references.pmid: 2661781
references.citation: J Bone Joint Surg Br. 1988 Jan;70(1):74-7
references.pmid: 3339064
references.citation: J Pediatr Orthop. 1994 Jul-Aug;14(4):501-7
references.pmid: 8077436
references.citation: Instr Course Lect. 1995;44:255-73
references.pmid: 7797862
references.citation: J Pediatr Orthop. 2002 Jul-Aug;22(4):424-7
references.pmid: 12131434
references.citation: Saudi Med J. 1998 Jan;19(1):41-44
references.pmid: 27701513
references.citation: Clin Orthop Relat Res. 2000 Mar;(372):241-9
references.pmid: 10738433
references.citation: J Bone Joint Surg Br. 1995 Mar;77(2):262-6
references.pmid: 7706343
references.citation: J Pediatr Orthop. 1992 Mar-Apr;12(2):157-63
references.pmid: 1552016
references.citation: Rev Chir Orthop Reparatrice Appar Mot. 1980 Jan-Feb;66(1):47-9
references.pmid: 6447340
references.citation: J Bone Joint Surg Br. 1997 Nov;79(6):975-8
references.pmid: 9393916
references.citation: J Bone Joint Surg Am. 1976 Oct;58(7):945-51
references.pmid: 977626
references.citation: Acta Orthop Scand. 1992 Feb;63(1):50-2
references.pmid: 1738971
references.citation: Z Kinderchir. 1985 Aug;40(4):209-12
references.pmid: 4060891
references.citation: J Chir (Paris). 1984 Aug-Sep;121(8-9):527-37
references.pmid: 6501457
references.citation: Injury. 1991 Jul;22(4):263-6
references.pmid: 1937719
references.citation: J Trauma. 2000 Feb;48(2):256-9
references.pmid: 10697083