Percutaneaus Kirschner-Wire Fixation for Displaced Distal Forearm Fractures in Children

Forearm Fractures are common injuries in children, translation more than half of the diameter of bone at the fracture site, is the commonest cause for the poor results. The aim of this study is to evaluate the efficacy of Percutaneaus Kirschner-Wire fixation done for the management of the displaced distal 1/4 (one fourth) fracture of the forearm in children. Material and Methods: Twenty cases were managed (18 males, 2 females). Four with ulnar and radial fractures, sixteen with isolated distal forearm fractures. Management was done by closed reduction and percutaneaus K-wire fixation by the aid of C-Arm imaging control. The average age was eight years ranged from 5 to 12 years. The commonest mechanism of injury is fall from bicycle during playing (50%). These cases were closed fractures, except in one case where the fracture was gustillo I injury (puncture wound). Results: The minimum follow-up duration was 10 months, during which evaluation was done, performed by clinical and radiological examinations. More than 80% of cases had excellent satisfactory results. Conclusion: We concluded that, Percutaneaus Kirschner-Wire Fixation for Displaced Distal Forearm Fractures in Children, is a good reliable method of treatment which yields satisfactory results.