Usually, one wire is sufficient for stabilizing the fracture, but in some cases, two or three are needed. K-wires are inserted after reduction under general anesthesia. K-wires were introduced as an addition to closed reduction, to reduce the risk of redislocation. Figures as high as 34% have been reported. There is a risk of redislocation after closed reduction of a complete fracture. Usually, fractures treated with closed reduction and casting heal without complication and the child regains normal function. Treatment with cast only (without reduction) is also described, but not as common. However, most such fractures are treated with closed reduction and casting, or an additional procedure with percutaneous Kirschner wire (K-wire) fixation. A completely displaced fracture warrants evaluation of angulation, alignment, and rotation before an appropriate treatment is chosen. ĭRFs are usually simple and incomplete, treated with a cast for a few weeks, mainly for the pain-relieving effect. A larger fracture displacement can be accepted in younger children and should be considered when choosing a treatment method. Open physes in children give the potential for re-modulation of fractures, which thus can be managed differently than in adults. ![]() The dominant cause of injury is a fall at home or during sports. Further research regarding indications for K-wiring of DRFs in the pediatric population is needed.ĭistal radius fracture (DRF) is the most common type of fracture in children (20–30% of all pediatric orthopedic fractures), and most often affects boys. Younger children and boys with a complete fracture were more likely than older children and girls to receive a K-wire. Boys acquired DRFs more often than girls, with a peak age of 12 years. ConclusionĬasting only was the preferred treatment for all fractures (76%). Odds ratio (OR) for a K-wire fixation in girls vs. In total, 25,777 patients were included, 7,173 (27%) with complete fractures. Sex, age, type of DRF, treatment, cause and mechanism of injury, were analyzed. In this retrospective study, based on data from SFR for children aged 5–12 years with DRF between January 2015 and October 2022, we investigated epidemiology and choice of treatment. The purpose of this study was to investigate epidemiology and treatment of pediatric DRFs registered in the Swedish Fracture Register (SFR). There is no recent study regarding pediatric DRFs and the extent of K-wire fixations in the Swedish population. However, recent studies have indicated that casting can be sufficient, at least for children with two or more years left to grow. Kirschner wire (K-wire) fixation has been recommended, to avoid the risk of redislocation. ![]() There is no clear consensus on primary treatment for complete DRFs. Described in terms of the moving fragment from its anatomical position relative to the normal fragment.Distal radius fracture (DRF) is the most common type of fracture in children. Pressure is applied directly above the fracture (dorsally) and two volar points at both the distal and proximal ends combining slight traction Three point moulding involves three points of pressure. Local Anaesthesic, Manipulation and Plasterįracture has healed but with poor alignmentĪ vertical plane that divides the body into right and left sections. General Anaesthetic, Manipulation and PlasterĪn incomplete fracture, in which only the convex side of the cortex is broken with bending of the bone Iv regional anaesthetic agent where the local anaesthetic (either lignocaine or prilocaine) is injected into a vein preferably distal to the fracture whilst a proximal tourniquet remains in place for at least 25-30minįracture site not tender to palpation or with movementĪ fracture that extends through both corticesĪ vertical plane that divides the body into anterior and posterior halves. A bandage is applied to keep it in placeĪ fracture in which the two bone fragments are aligned side by side rather than in end-to-end contact. Measured in degreesĪ partial cast that does not completely encircle the limb. Described in terms of the moving fragment from its anatomical position relative to the normal fragment.
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