Treatment of diaphyseal forearm fractures in children by intramedullary Kirschner wires.

Abstract

This article presents a retrospective analysis of a case series of diaphyseal forearm fractures in children treated with intramedullary Kirschner wires (K-wires). Seventy-four diaphyseal forearm fractures in children (63 male subjects and 11 female subjects) with a mean age of 11 years (range, 4-15 years) were treated with percutaneous intramedullary K-wires. Under fluoroscopic control, a standard K-wire (diameter, 1.5-2.0 mm, depending on the age) was introduced into the distal radial metaphysis, proximal to the epiphysis. The K-wire was then advanced proximally across the fracture. For the ulna, the wire was introduced antegrade from the proximal end. The tip of the K-wire was prebent to 30 degrees to facilitate closed reduction of the displaced fracture. All fractures healed between 6 and 10 weeks with minimum complications and excellent clinical results. This surgical technique is convenient, effective, and safe for treating displaced diaphyseal forearm fractures in children.