Treatment of diaphyseal forearm fractures in children by intramedullary Kirschner wires

Background: This article presents a retrospective analysis of a case series of diaphyseal forearm fractures in children treated with intramedullary Kirschner mires (K-wires). Methods: Seventy-four diaphyseal forearm fractures in children (63 male subjects and 11 female subjects) with a mean age of II years (range, 4-15 gears) were treated with percutaneous intramedullary It-wires. Under fluoroscopic control, a standard K-wire (diameter, 1.5-2.0 mm, depending on the age) was introduced into the distal radial metaphysis, proximal to the epiphysis. The K-wire was then advanced proximally across the fracture. For the ulna, the wire was introduced antegrade from the proximal end. The tip of the K-wire was prebent to 30 degrees to facilitate closed reduction of the displaced fracture, Results: All fractures healed between 6 and 10 weeks with minimum complications and excellent clinical results. Conclusion: This surgical technique is convenient, effective, and safe for treating displaced diaphyseal forearm fractures in children.