Unstable fracture of radius and ulna outcome of intramedullary Kirschner wire fixation in children | [Professional Medical Journal • 2011]

Author(s):

1. Waqar Alam: FCPS II orthopaedics, KTH, Peshawar, Pakistan

2. Faaiz Ali Shah: FCPS II orthopaedics, KTH, Peshawar, Pakistan

3. Zafar Durrani: Department of Orthopedic & Trauma, KTH, Peshawar, Pakistan

4. Zahid Askar: Department of Orthopedic and Trauma, KTH, Peshawar, Pakistan

5. Muhammad Ayaz Khan: Department of Orthopedic and Trauma, KTH, Peshawar, Pakistan

6. Sikandar Hayat: Department of Orthopedic and Trauma, KTH, Peshawar, Pakistan

Abstract:

Patients and Methods: All patients were admitted from OPD . Children less than 16 years with Unstable Radius- Ulna fractures were included in the study. Patients with open fractures and adults with polytrauma were excluded from the study. Unstable Radius-Ulna fractures were treated by Intramedullary Kirschner Wire fixation under general anesthesia and tourniquet control. Follow up till radiological and clinical union was done. K-wires were removed after healing of fractures. Patients were assessed functionally and radiologically and results were graded according to Price et al Criteria. Results: A total of 64 children with unstable radius and ulna fractures were included in the study. The age range was 6 to 15 years with average age of 10.41 years. 47 were male and 17 were female. The average time of radiological union was 7 weeks and K-wires were removed at 8 weeks time. At final assessment there were 47 Excellent, 10 Good and 7 Fair results. Conclusions: Excellent results can be achieved by Intramedullary K-Wires fixation. In children with unstable Radius-Ulna fractures. It should be the method of choice for treating these fractures.

Page(s): 323-327

DOI: DOI not available

Published: Journal: Professional Medical Journal, Volume: 18, Issue: 2, Year: 2011

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