Complication rates, fluoroscopy exposure time, and functional outcomes of the two K-wire fixation methods for distal radius fractures in pediatric patients; mini-incision as a feasible surgical option

Abstract

Objectives. In this study, we aimed to compare complication rates and fluoroscopy exposure time, as well as to analyze the functional results of percutaneous K-wire fixation and K-wire fixation with mini-open techniques in pediatric distal radius fractures. Materials and Methods. In this retrospective design study, one-hundred patients with completely displaced fracture of the distal radius were evaluated in terms of demographic data, radiological and functional evaluations, fluoroscopy exposure time, and complications. In Group 1, 50 patients were treated by closed reduction and percutaneous K wire application. In Group 2, 50 patients were treated with close reduction and K-wire fixation using a mini-incision. Results. There were no statistically significant differences between the two groups in terms of age, fracture degree, reduction degree, and follow-up duration. We found the fluoroscopy time and redisplacement rate were significantly lower in group 2. We did not notice tendon irritation and neuropraxia complications in any of the patients in group 2. We observed good functional results and no malalignment in both groups. Conclusions. The mini-open incision technique had lower complication rates and fluoroscopy durations. Based on the results of this study, K-wire fixation with the mini-open technique may be recommended as an alternative method for pediatric distal radius fractures.