Top

European Journal of Orthopaedic Surgery & Traumatology

Published in:

01-10-2020 | Original Article

Locked wires fixator for fractures of the distal third of the radius and ulna in children

Authors: Kiyohito Naito, So Kawakita, Nana Nagura, Yoichi Sugiyama, Hiroyuki Obata, Kenji Goto, Ayaka Kaneko, Kazuo Kaneko

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 7/2020

Abstract

Background

Prevention of redisplacement is an issue after the treatment of fractures of the distal third of the radius in children. In this study, we used a locked wires fixator for this type of fracture and achieved favorable treatment outcomes.

Methods

The subjects were 8 children with fractures of the distal third of the radius (male: 7, female: 1, mean age: 9.0 years old) who underwent surgery with locked wires fixators and were able to be evaluated 12 months after surgery. Immobilization was not applied after surgery. The locked wires fixator or K-wire was removed when the bridging callus was observed on plain radiography 4–6 (mean 5.5) weeks after surgery in all patients. The presence of bone union, functional outcomes, and complications were investigated postoperatively.

Results

All patients achieved bone union without redisplacement excellent function. The pin site infection was observed in two patients.

Conclusions

The locked wires fixator may be a new useful treatment method for fractures likely to cause postoperative redisplacement.

Available only for authorised users

Khosla S, Melton LJ 3rd, Dekutoski MB, Achenbach SJ, Oberg AL, Riggs BL (2003) Incidence of childhood distal forearm fractures over 30 years: a population-based study. JAMA 290:1479–1485CrossRef

McLauchlan GJ, Cowan B, Annan IH, Robb JE (2002) Management of completely displaced metaphyseal fractures of the distal radius in children. A prospective, randomized controlled trial. J Bone Joint Surg Br 84:413–417CrossRef

Proctor MT, Moore DJ, Paterson JM (1993) Redisplacement after manipulation of distal radial fractures in children. J Bone Joint Surg Br 75:453–454CrossRef

Voto SJ, Weiner DS, Leighley BL (1990) Redisplacement after closed reduction of forearm fractures in children. J Pediatr Orthop 10:79–84CrossRef

Neilsen AB, Simonsen O (1984) Displaced forearm fractures in children treated with AO plates. Injury 15:393–396CrossRef

Zamzam MM, Khoshhal KI (2005) Displaced fracture of the distal radius in children. J Bone Joint Surg Br 87:841–843CrossRef

Bae DS (2008) Pediatric distal radius and forearm fractures. J Hand Surg Am 33:1911–1923CrossRef

Alemdaroglu KB, Iltar S, Cimen O, Uysal M, Alagöz E, Atlihan D (2008) Risk factors in redisplacement of distal radial fractures in children. J Bone Joint Surg Am 90:1224–1230CrossRef

Sankar WN, Beck NA, Brewer JM, Baldwin KD, Pretell JA (2011) Isolated distal radial metaphyseal fractures with an intact ulna: risk factors for loss of reduction. J Child Orthop 5:459–464CrossRef

10.

Haddad FS, Williams RL (1995) Forearm fractures in children: avoiding redisplacement. Injury 26:691–692CrossRef

11.

Colaris J, Reijman M, Allema JH et al (2013) Single-bone intramedullary fixation of unstable both-bone diaphyseal forearm fractures in children leads to increased re-displacement: a multicenter randomized controlled trial. Arch Orthop Trauma Surg 133:1079–1087CrossRef

12.

Hiatt SV, Begonia MT, Thiagarajan G, Hutchison RL (2015) Biomechanical comparison of 2 methods of intramedullary K-wire fixation of transverse metacarpal shaft fractures. J Hand Surg Am 40:1586–1590CrossRef

13.

Margic K (2006) External fixation of closed metacarpal and phalangeal fractures of digits. A prospective study of one hundred consecutive patients. J Hand Surg Am 31:30–40CrossRef

14.

Arai T, Yamamoto M, Iwatsuki K et al (2013) Mechanical advantages of a truss-structure-based fracture fixation system—a novel fracture fixation device “PINFIX”-. Nagoya J Med Sci 75:181–192PubMedPubMedCentral

15.

Miyamoto H, Adi M, Taleb C et al (2015) Fifth carpometacarpal fracture dislocations fixed with Meta-HUS: a series of 31 cases. Eur J Orthop Surg Traumatol 25:477–482CrossRef

16.

Adi M, Miyamoto H, Taleb C et al (2014) Percutaneous fixation of first metacarpal base fractures using locked K-wires: a series of 14 cases. Tech Hand Up Extrem Surg 18:77–81CrossRef

17.

Zemirline A, Vaiss L, Lebailly F, Gouzou S, Liverneaux PA, Facca S (2014) The MetaHUS fixation system versus pinning and plating in 5th metacarpal neck fractures. Chir Main 33:207–210CrossRef

Title: Locked wires fixator for fractures of the distal third of the radius and ulna in children
Authors: Kiyohito Naito
So Kawakita
Nana Nagura
Yoichi Sugiyama
Hiroyuki Obata
Kenji Goto
Ayaka Kaneko
Kazuo Kaneko
Publication date: 01-10-2020
Publisher: Springer Paris
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 7/2020
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-020-02682-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Locked wires fixator for fractures of the distal third of the radius and ulna in children

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 7/2020

Lateral arm flap: indications and techniques

Sarcopenia in distal radius fractures: systematic review of the literature and current findings

Extraphyseal distal radius fracture in children: is the cast always needed? A retrospective analysis comparing Epibloc system and K-wire pinning

Interlocking screw configuration influences distal tibial fracture stability in torsional loading after intramedullary nailing

A comparative study of heterogeneous antibiotic resistance of microbial populations in conventional periprosthetic tissue cultures and sonication fluid cultures of orthopaedics explanted prostheses

Treatment of static scapholunate dissociation using a slip of the flexor carpi radialis