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Exposed versus Buried Kirschner Wires Used in Displaced Pediatric Fractures of Lateral Condyle of Humerus
BACKGROUND: Comparision of results and complications of exposed versus buried Kirschner wires (K-wires) after open reduction of lateral condyle fractures is scarce and mainly from western population; hence, we envisaged to study the safety and efficacy of exposed and buried K-wires used for fixation...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6142795/ https://www.ncbi.nlm.nih.gov/pubmed/30237613 http://dx.doi.org/10.4103/ortho.IJOrtho_295_17 |
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author | Prasad, Avijeet Mishra, Puneet Aggarwal, Aditya N Chadha, Manish Pandey, Rohit Anshuman, Rahul |
author_facet | Prasad, Avijeet Mishra, Puneet Aggarwal, Aditya N Chadha, Manish Pandey, Rohit Anshuman, Rahul |
author_sort | Prasad, Avijeet |
collection | PubMed |
description | BACKGROUND: Comparision of results and complications of exposed versus buried Kirschner wires (K-wires) after open reduction of lateral condyle fractures is scarce and mainly from western population; hence, we envisaged to study the safety and efficacy of exposed and buried K-wires used for fixation of displaced pediatric fracture of the lateral condyle of humerus in Indian setup. MATERIALS AND METHODS: A prospective, nonrandomized, comparative study was conducted in 50 patients with age <12 years, presenting with displaced fracture of lateral condyle of humerus of <2 weeks duration, without associated ipsilateral upper limb injury, who were treated by open reduction and internal fixation with either exposed or buried K-wires (n = 25 in each group). At a minimum followup of 3 months, status of fracture reduction, union, evidence of osteomyelitis, carrying angle at the elbow, and elbow range of motion (ROM) were assessed clinicoradiologically. RESULTS: Four (16%) patients in exposed group and 1 (4%) in buried group had superficial infection, while 3 (12%) patients in exposed group and 2 (8%) in buried group had deep infection. All the patients with infection responded well to oral antibiotics and regular dressings. Buried group had higher incidence of secondary skin and wire-related complications. CONCLUSION: There was no statistical difference between the two groups but exposed K wires are easy to remove so are preferred over buried K wires. |
format | Online Article Text |
id | pubmed-6142795 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-61427952018-09-20 Exposed versus Buried Kirschner Wires Used in Displaced Pediatric Fractures of Lateral Condyle of Humerus Prasad, Avijeet Mishra, Puneet Aggarwal, Aditya N Chadha, Manish Pandey, Rohit Anshuman, Rahul Indian J Orthop Symposium - Pediatric Trauma BACKGROUND: Comparision of results and complications of exposed versus buried Kirschner wires (K-wires) after open reduction of lateral condyle fractures is scarce and mainly from western population; hence, we envisaged to study the safety and efficacy of exposed and buried K-wires used for fixation of displaced pediatric fracture of the lateral condyle of humerus in Indian setup. MATERIALS AND METHODS: A prospective, nonrandomized, comparative study was conducted in 50 patients with age <12 years, presenting with displaced fracture of lateral condyle of humerus of <2 weeks duration, without associated ipsilateral upper limb injury, who were treated by open reduction and internal fixation with either exposed or buried K-wires (n = 25 in each group). At a minimum followup of 3 months, status of fracture reduction, union, evidence of osteomyelitis, carrying angle at the elbow, and elbow range of motion (ROM) were assessed clinicoradiologically. RESULTS: Four (16%) patients in exposed group and 1 (4%) in buried group had superficial infection, while 3 (12%) patients in exposed group and 2 (8%) in buried group had deep infection. All the patients with infection responded well to oral antibiotics and regular dressings. Buried group had higher incidence of secondary skin and wire-related complications. CONCLUSION: There was no statistical difference between the two groups but exposed K wires are easy to remove so are preferred over buried K wires. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC6142795/ /pubmed/30237613 http://dx.doi.org/10.4103/ortho.IJOrtho_295_17 Text en Copyright: © 2018 Indian Journal of Orthopaedics http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Symposium - Pediatric Trauma Prasad, Avijeet Mishra, Puneet Aggarwal, Aditya N Chadha, Manish Pandey, Rohit Anshuman, Rahul Exposed versus Buried Kirschner Wires Used in Displaced Pediatric Fractures of Lateral Condyle of Humerus |
title | Exposed versus Buried Kirschner Wires Used in Displaced Pediatric Fractures of Lateral Condyle of Humerus |
title_full | Exposed versus Buried Kirschner Wires Used in Displaced Pediatric Fractures of Lateral Condyle of Humerus |
title_fullStr | Exposed versus Buried Kirschner Wires Used in Displaced Pediatric Fractures of Lateral Condyle of Humerus |
title_full_unstemmed | Exposed versus Buried Kirschner Wires Used in Displaced Pediatric Fractures of Lateral Condyle of Humerus |
title_short | Exposed versus Buried Kirschner Wires Used in Displaced Pediatric Fractures of Lateral Condyle of Humerus |
title_sort | exposed versus buried kirschner wires used in displaced pediatric fractures of lateral condyle of humerus |
topic | Symposium - Pediatric Trauma |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6142795/ https://www.ncbi.nlm.nih.gov/pubmed/30237613 http://dx.doi.org/10.4103/ortho.IJOrtho_295_17 |
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