[ Ana Sayfa | Editörler | Danışma Kurulu | Dergi Hakkında | İçindekiler | Arşiv | Yayın Arama | Yazarlara Bilgi | E-Posta ]
Fırat Tıp Dergisi
2012, Cilt 17, Sayı 4, Sayfa(lar) 233-237
[ Turkish ] [ Tam Metin ] [ PDF ]
The Results of Intramedullary Kirschner Wire in Fixation of Pediatric Femoral Shaft Fractures
Oktay BELHAN1, Murat GÜRGER2
1Fırat Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Elazığ, Türkiye
2Harput Devlet Hastanesi, Ortopedi ve Travmatoloji Kliniği, Elazığ, Türkiye

Objective: In our this study, we evaluated the results which we obtained by using intramedulary Kirschner wire (K wire) in the children with femoral shaft fractures between the age 3 and 10.

Materials and Methods: Between the years 2007 and 2011, 39 patients (28 male, 11 female) with isolated femur fractures, whose intramedullary K wire were applied were studied.

Results: The average age of the patients was as 5,6 (age 3-10). All the femur fractures were in diaphysis and all of them were closed fractures. 11 of the fractures (28,2%) were transverse, 20 of them (51,3%) were oblique, 8 of them (20,5%) were spiral. The average operation time was determined as 55,38 (40-90) minutes. The average patient follow-up time was 17,07 (12-24) months, femur union was found almost in 7,10 (6-10) weeks. Approximately, in 6,87 (5-12) months, K wire were removed. In the first year after the operation, all the patients' had a full hip and knee range of motion and clinically rotational and angular deformity were not found out. In the last follow-up of these patients, it was observed that inequality reduced to 2,17 (0-5) mm, varus-valgus was average angularity 4,15º (0º-10º), sagittal plane was average angularity 3,10º (0º-10º) .

Conclusion: Intramedullary K wire presents the translation of fracture parts. We think that fixation through intramedullary K wire is the suitable choice in healing femoral shaft fractures in children between the age 3-10 of the fact that it can prevent extremity inequality and angular alignment.


[ Turkish ] [ Tam Metin ] [ PDF ]
[ Ana Sayfa | Editörler | Danışma Kurulu | Dergi Hakkında | İçindekiler | Arşiv | Yayın Arama | Yazarlara Bilgi | E-Posta ]