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A Novel Method for Treating Distal Radius Diaphyseal Metaphyseal Junction Fracture in Children

BACKGROUND: The treatment of distal radius diaphyseal metaphyseal junction (DMJ) fracture in children is a clinical problem; several treatments are available, but none are very effective. Therefore, this study aimed to report a novel method for treating this fracture using limited open reduction and...

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Autores principales: Wang, Rufa, Chen, Dan, Tang, Yuping, Fan, Minjie, Wang, Yiwei, Zhuang, Hanjie, Guo, Ruoyi, Zheng, Pengfei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10327493/
https://www.ncbi.nlm.nih.gov/pubmed/37394785
http://dx.doi.org/10.12659/MSM.939852
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author Wang, Rufa
Chen, Dan
Tang, Yuping
Fan, Minjie
Wang, Yiwei
Zhuang, Hanjie
Guo, Ruoyi
Zheng, Pengfei
author_facet Wang, Rufa
Chen, Dan
Tang, Yuping
Fan, Minjie
Wang, Yiwei
Zhuang, Hanjie
Guo, Ruoyi
Zheng, Pengfei
author_sort Wang, Rufa
collection PubMed
description BACKGROUND: The treatment of distal radius diaphyseal metaphyseal junction (DMJ) fracture in children is a clinical problem; several treatments are available, but none are very effective. Therefore, this study aimed to report a novel method for treating this fracture using limited open reduction and transepiphyseal intramedullary fixation with Kirschner wire. MATERIAL/METHODS: From January 2018 to December 2019, a total of 15 children (13 boys and 2 girls) with distal radius DMJ fractures with a mean age of 10 years (range: 6–14 years) were included in the study. The operation time, incision length, and X-ray radiation exposure were precisely recorded. All children were followed up regularly. At the final follow-up, clinical outcomes were evaluated according to Price criteria, and complications were recorded. RESULTS: The mean operation time of the 15 children was 21.4 min, and the mean incision length was 1.9 cm. The intraoperative X-ray was performed 3.7 times on average. The mean radiographic union of fracture was 4.7 weeks, and the mean time to remove the Kirschner wire was 4.8 weeks for radial instrumentation and 4.7 months for ulnar instrumentation. According to the Price grading evaluation system, clinical outcome was excellent in 14 cases and good in 1 case. Moreover, there were no major complications related to loss of reduction, malunion, nonunion, and physeal arrest of the distal radius. CONCLUSIONS: Limited open reduction and transepiphyseal intramedullary fixation with Kirschner wire are effective for treating distal radius DMJ fracture in children, which has the advantages of simple surgical procedures, short operation time, small incision, and less radiation exposure, making it an excellent choice for treating this fracture.
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spelling pubmed-103274932023-07-08 A Novel Method for Treating Distal Radius Diaphyseal Metaphyseal Junction Fracture in Children Wang, Rufa Chen, Dan Tang, Yuping Fan, Minjie Wang, Yiwei Zhuang, Hanjie Guo, Ruoyi Zheng, Pengfei Med Sci Monit Clinical Research BACKGROUND: The treatment of distal radius diaphyseal metaphyseal junction (DMJ) fracture in children is a clinical problem; several treatments are available, but none are very effective. Therefore, this study aimed to report a novel method for treating this fracture using limited open reduction and transepiphyseal intramedullary fixation with Kirschner wire. MATERIAL/METHODS: From January 2018 to December 2019, a total of 15 children (13 boys and 2 girls) with distal radius DMJ fractures with a mean age of 10 years (range: 6–14 years) were included in the study. The operation time, incision length, and X-ray radiation exposure were precisely recorded. All children were followed up regularly. At the final follow-up, clinical outcomes were evaluated according to Price criteria, and complications were recorded. RESULTS: The mean operation time of the 15 children was 21.4 min, and the mean incision length was 1.9 cm. The intraoperative X-ray was performed 3.7 times on average. The mean radiographic union of fracture was 4.7 weeks, and the mean time to remove the Kirschner wire was 4.8 weeks for radial instrumentation and 4.7 months for ulnar instrumentation. According to the Price grading evaluation system, clinical outcome was excellent in 14 cases and good in 1 case. Moreover, there were no major complications related to loss of reduction, malunion, nonunion, and physeal arrest of the distal radius. CONCLUSIONS: Limited open reduction and transepiphyseal intramedullary fixation with Kirschner wire are effective for treating distal radius DMJ fracture in children, which has the advantages of simple surgical procedures, short operation time, small incision, and less radiation exposure, making it an excellent choice for treating this fracture. International Scientific Literature, Inc. 2023-07-03 /pmc/articles/PMC10327493/ /pubmed/37394785 http://dx.doi.org/10.12659/MSM.939852 Text en © Med Sci Monit, 2023 https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Clinical Research
Wang, Rufa
Chen, Dan
Tang, Yuping
Fan, Minjie
Wang, Yiwei
Zhuang, Hanjie
Guo, Ruoyi
Zheng, Pengfei
A Novel Method for Treating Distal Radius Diaphyseal Metaphyseal Junction Fracture in Children
title A Novel Method for Treating Distal Radius Diaphyseal Metaphyseal Junction Fracture in Children
title_full A Novel Method for Treating Distal Radius Diaphyseal Metaphyseal Junction Fracture in Children
title_fullStr A Novel Method for Treating Distal Radius Diaphyseal Metaphyseal Junction Fracture in Children
title_full_unstemmed A Novel Method for Treating Distal Radius Diaphyseal Metaphyseal Junction Fracture in Children
title_short A Novel Method for Treating Distal Radius Diaphyseal Metaphyseal Junction Fracture in Children
title_sort novel method for treating distal radius diaphyseal metaphyseal junction fracture in children
topic Clinical Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10327493/
https://www.ncbi.nlm.nih.gov/pubmed/37394785
http://dx.doi.org/10.12659/MSM.939852
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