الفهرس | Only 14 pages are availabe for public view |
Abstract The goals of management of a completely displaced metaphyseal fracture of distal radius are to recover full function in a cosmetically normal wrist and elbow and avoidance of complication. The commonly accepted treatment in children is fracture reduction and percutaneous pin fixation. In this work we studied the results of treatment of completely displaced metaphyseal fracture of distal radius in children by closed reduction and percutaneous fixation by K-wires.Twenty four children were treated by this method. All of them were completely displaced either dorsally or volary according to the directional displacement.The cases were examined clinically and radio-logically at first. Twenty cases were operated in the same day and four cases were delayed because of sever edema.Under general anesthesia, with fluoroscopic control, the fracture was reduced and fixed by two K-wires percutaneously. Then the arm was immobilized in above elbow cast. After removal of the K-wires the patients were left to do exercises till full range of movement was achieved. The results were assessed both functionally and cosmetically according to evaluation of elbow, wrist function, pronation and supination and residual deformity. The overall results obtained were satisfactory with treatment by closed reduction and percutaneous pinning. |