Treatment of Salter-Harris type II phalangeal fracture in children

Abstract

Objective To evaluate the clinical outcomes of closed reduction and Kirschner wire fixation in the treatment of Salter-Harris typeⅡphalangeal fracture in children. Methods From January 2014 to March 2016, 12 cases (14 fingers) of pediatric phalangeal fracture were treated by closed reduction and percutaneous Kirschner wire fixation. The preoperative X-ray showed that the fractures were displaced but not comminuted. According to the Salter-Harris classification, all the fractures were typeⅡ. X-ray examination was performed at 2, 4 and 6 weeks after operation to observe fracture healing. Results All the patients were follow-up for 2 to 16 months with an average of 7 months. All the phalangeal fractures were healed with an average healing time of 3.5 weeks. There were no obvious angular or rotational deformities, no kirschner wire breakage or loosening and no pin infection. According to the visual analogue scale (VAS), the pain scores were excellent. According to the functional evaluation standards issued by Hand Surgery Society of the Chinese Medical Association, the results were excellent in 10 cases (11 fingers), good in 2 cases (3 fingers). Conclusion Under the premise of mastering the indications, closed reduction and Kirschner wire fixation for the treatment of Salter-Harris typeⅡphalangeal fracture in children with angular displacement can achieve satisfactory results. Key words: Child; Finger phalanges; Fracture fixation; Salter-Harris typeⅡ