Document Detail

Intramedullary Kirschner wiring for tibia fractures in children.
MedLine Citation:
PMID:  11371808     Owner:  NLM     Status:  MEDLINE    
This is a retrospective analysis of the results of 84 tibial fractures in children treated by intramedullary Kirschner wiring. Thirty were open fractures (9 grade I, 10 grade II, 8 grade IIIA, 3 grade IIIB). There were 65 boys and 18 girls with an average age of 10.23 years (range 4-15). The patient was placed supine on an orthopedic traction table. Under fluoroscopic control, two Kirschner wires (2.5-3.5-mm thick) were introduced antegrade from proximal metaphysis (level of tibial tuberosity) to distal metaphysis, one each from medial and lateral cortices. Open fractures were stabilized after meticulous wound débridement. Average time to union was 9.5 weeks (range 8-14). None developed delayed union. However, one grade IIIB open fracture progressed to infected nonunion; it healed after an autogenous bone graft. No infections were seen in closed fractures, but four superficial and one deep infection occurred in open fractures. Closed intramedullary Kirschner wire fixation for unstable or open tibial fractures in children is a simple surgical technique that produces good clinical and functional results.
S A Qidwai
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric orthopedics     Volume:  21     ISSN:  0271-6798     ISO Abbreviation:  J Pediatr Orthop     Publication Date:    2001 May-Jun
Date Detail:
Created Date:  2001-05-23     Completed Date:  2001-08-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8109053     Medline TA:  J Pediatr Orthop     Country:  United States    
Other Details:
Languages:  eng     Pagination:  294-7     Citation Subset:  IM    
King Khalid Hospital, Najran, Saudi Arabia.
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MeSH Terms
Bone Wires*
Child, Preschool
Fracture Fixation, Intramedullary / instrumentation*,  methods
Fractures, Malunited
Fractures, Open / radiography,  surgery*
Postoperative Complications
Range of Motion, Articular
Retrospective Studies
Tibial Fractures / radiography,  surgery*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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