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Multicentre collaborative cohort study of the use of Kirschner wires for the management of supracondylar fractures in children

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Chinese Journal of Traumatology 2019年第5期22卷 249-254页

作者： Henry Claireaux Richard Goodall Joshua Hill Elizabeth Wilson Philippa Coull Sebastian Green James Schuster-Bruce Diana Lim Joanna Miles payam tarassoli University of Bristol Senate HouseTyndall AveBristolBS8 1THUK Bristol Royal Hospital for Children Maudlin StBristolBS2 8BJUK

Purpose:Supracondylar fractures of the humerus cause significant morbidity in *** damage and loss of fracture reduction are common recognised complications in patients with this *** surrounds the optimal Kirschner wire configuration and diameter for closed reduction and pinning of these *** study describes current practice and examined the association between wire configuration or diameter and outcomes(clinical and radiological)in the operative management of paediatric supracondylar ***:Children presenting w让h GartlandⅡorⅢsupracondylar fractures at five hospitals in southwest England were eligible for *** scrutinised paper and electronic case *** measures were maintenance of reduction and iatrogenic nerve ***:Altogether 209 patients were eligible for inclusion:15.7%had a documented neurological deficit at presentation;3.9%who were neurologically intact at presentation sustained a new deficit caused by treatment and 13.4%experienced a clinically significant loss of reduction following *** of reduction was significantly better in patients treated specifically with crossed×3 Kirschner wire configuration compared to all other *** incidence of iatrogenic nerve injury was not significantly different between groups treated with different wire ***:We present a large multicentre cohort study showing that crossed×3 Kirschner wires are associated with better maintenance of reduction than crossed×2 or lateral entry *** numbers would be required to properly investigate nerve injury relating to operative management of supracondylar *** found significant variations in practice and compliance w让h the British Orthopaedic Association Standard for Trauma(BOAST)11 guidelines.

关键词： Fracture fixation Humerus Child Nerve injury Bone wires

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