Journals / Journal of Clinical and Analytical Medicine / 2013 / Cilt: 4 - Sayı: 6

Çocuklarda İnstabil Önkol Çift Kırıklarının Cerrahi Tedavisi Sonuçları

The Results of Surgical Management of Unstable Both-Bone Forearm Fractures in Children

Pages
447–449
Publication Date
2022-10-18
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Discussion:Close reduction and intramedullary fixation with kirschner wires is an easy,reliable and alternative method for the forearm fractures in children agedbetween 7-14 years.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: In our study; we evaluated the forearm fractures in children which werefixed by intramedullary kirschner wires through close reduction, prospectively.
📊
Key Findings & Data:Material and Method: There were two girls and 18 boys who were between7-14 years with unstable both-bone forearm fractures were prospectivelyevaluated.
💡
Conclusion & Impact:Discussion:Close reduction and intramedullary fixation with kirschner wires is an easy,reliable and alternative method for the forearm fractures in children agedbetween 7-14 years.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: In our study; we evaluated the forearm fractures in children which werefixed by intramedullary kirschner wires through close reduction, prospectively. Material and Method: There were two girls and 18 boys who were between7-14 years with unstable both-bone forearm fractures were prospectivelyevaluated. Unsuccessfull reduction in seventeen patients, loss of reductionduring follow-up in three patients. Results: Union was achieved in all thefractures within a mean of 6,5 weeks (range 6 to 9 weeks). None of thepatients developed complications such as deep infection, synostosis,loss of reduction, vessel-nerve-tendon injuries, compartment syndrome,refractures, or implant migration. Pin tract infections seen in two patientswere treated with antibiotic treatment. Clinically and radiographically, nolength discrepancy was detected between the two forearms. Discussion:Close reduction and intramedullary fixation with kirschner wires is an easy,reliable and alternative method for the forearm fractures in children agedbetween 7-14 years.

Özet

Amaç: Araştırmamızda, çocuk önkol kırıklarında kapalı redüksiyonu takibenkirschner telleri ile intramedüller çivileme yapılan olgular prospektif olarakdeğerlendirildi. Gereç ve Yöntem: 7-14 yaş arası 2si kız 18i erkek toplam 20instabil önkol çift kemik kırıklı çocuk hasta prospektif olarak incelendi. 17 olguda kapalı redüksiyon başarısızlığı, 3 olguda izlemelerinde redüksiyon kaybımevcut idi. Bulgular: Bütün kırıklarda ortalama 6,5 haftada (dağılım 6-9 hafta) radyografik ve klinik olarak kaynama gözlendi. Hiçbir olguda derin enfeksiyon, sinostoz, redüksiyon kaybı, damar-sinir-tendon yaralanması, kompartman sendromu, yeniden kırık, implant migrasyonu gibi komplikasyonlar görülmedi. İki olguda gelişen çivi dibi enfeksiyonu antibiyotik tedavisiyle iyileşti. Klinik ve radyografik olarak iki önkol arasında uzunluk farkı oluşmadı. Tartışma: 8-14 yaş arası çocuk önkol kırıklarında, kirschner telleri ile intramedüller çivileme yöntemi; teknik olarak basit, sonuçları iyi ve güvenilir bir tedavi şeklidir.

🔖

Cite This Article

GÖKÇE, H., SERBEST, S., ÇELİK, S., TOSUN, H. B., KILIÇ, S. (2022). Çocuklarda İnstabil Önkol Çift Kırıklarının Cerrahi Tedavisi Sonuçları. Journal of Clinical and Analytical Medicine, Cilt: 4 - Sayı: 6, 447–449. https://ajindex.com/articles/561302

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Aguş H. Çocuk önkol kırıklarının tedavisinde güncel kavramlar. TOTBID Dergisi 2004;3:46-9
  2. Herring JA. Fractures of the shaft of Radius and Ulna. Tachdjian’s Pediatric Orthopaedics. Vol. 3, 3rd ed. Philadelphia: W.B. Saunders Company; 2002. s. 2225-31
  3. Beaty JH, Kasser JR. Injuries to the shafts of the radius and ulna. In: Price CT, Mentio GA, editors. Fractures in children. Philadelphia USA: Lippincott; 2001. s. 444-65
  4. Seyfettinoğlu F, Duygun F, Kovalak E, Ersan Ö, Ateş B, Ateş Y. Büyük çocuklarda önkol çift kırıklarının konservatif ve cerrahi tedavi sonuçlarının değerlendirilmesi. Ulus Travma Acil Cerrahi Derg 2009;15(4):371-6
  5. Ploegmakers JJ, Verheyen CC. Acceptance of angulation in the non-operative treatment of paediatric forearm fractures. J Pediatr Orthop B 2006;15(6):428-32
  6. Matthews LS, Kaufer H, Garver DF, Sonstegard DA. The effect on supination- pronation of angular malalignment of fractures of both bones of the forearm. J Bone Joint Surg [Am]1982;64(1):14-7
  7. Younger AS, Tredwell SJ, Mackenzie WG, Orr JD, King PM, Tennant W. Accurate prediction of outcome after pediatric forearm fracture. J Pediatr Orthop 1994;14(2):200-6
  8. Fuller DJ, McCullough CJ. Malunited fractures of the forearm in children. J Bone Joint Surg [Br] 1982;64(3):364-7
  9. Van der Reis WL, Otsuka NY, Moroz P, Mah J. Intramedullary nailing versus plate fixation for unstable forearm fractures in children. J Pediatr Orthop 1998;18(1):9- 13
  10. Ortega R, Loder RT, Louis DS. Open reduction and internal fixation of forearm fractures in children. J Pediatr Orthop 1996;16(5):651-4
  11. Shoemaker SD, Comstock CP, Mubarak SJ, Wenger DR, Chambers HG. Intrame- dullary Kirschner wire fixation of open or unstable forearm fractures in children. J Pediatr Orthop 1999;19(3):329-37
  12. Verstreken L, Delronge G, Lamoureux J. Shaft forearm fractures in children: intramedullary nailing with immediate motion: a preliminary report. J Pediatr Orthop 1988;8(4):450-3
  13. Taşbaş BA, Delialioğlu MÖ, Ağar M, Dağlar B, Bayrakçı K, Cılız D, et al. Assessment of proximal ulnar epiphyseal injuries in pediatric ulnar fractures treated by intramedullary nailing. Joint Dis Rel Surg 2005;16(3):194-9
  14. Wyrsch B, Mencio GA, Green NE. Open reduction and internal fixation of pedi- atric forearm fractures. J Pediatr Orthop 1996;16(5):644-50
  15. Tabak AY, Tasbas BA, Yagmurlu MF, Muratli HH. Closed intramedullary nail application in pediatric forearm shaft fractures of both bones. [Article i