Percutaneous intramedullary fixation with the wires for fractures of the distal radius metaepiphysis in children

Abstract

Fractures of the forearm bones in children are among the most common injuries and they occupy a leading place among limb fractures. The method of treatment of the fracture of the distal metaepiphysis of the radial bone in children determines the type and place of the fracture, the degree of displacement of the bone fragments and the method of repositioning the bone fragments. The purpose is to verify the effectiveness of percutaneous intramedullary Kirschner wires fixation in the treatment of fractures of the distal radius metaepiphysis in children. Over the past 10 years the surgery department provided treatment for 107 children of different age and sex with fractures of the distal radius metaepiphysis. There were 67 boys and 40 girls. Damages were as follows: epiphyseolysis distal epiphysis in 39 (36%); osteoepiphyseolysis of distal metaephysis in 43 (40%); fracture of the distal radius with displacement of bone fragments in 25 (23%) children. The tactics of treatment depended on the fracture line, the shape of the fracture, and the age of the patient. All children reposition and percutaneous fixation was performed under general anesthesia with X-Ray control. Wires as a retainer of bone fragments were applied for 30-35 days averagely. These patients were constantly observed by a traumatologist. From all observations (107), the complications were in 7 (5%) patients, out of which 5 had an inflammation of the soft tissues, one patient had a soft tissue abscess rear of the wrist and one had a wire on the 30th day after the repositioning was broken at the level of the wrist joint. All of these patients underwent treatment tactics correction that did not affect the final outcome.