Kirschner wire osteosynthesis for fractures in childhood: bury wires or not? : Results of a survey on care reality in Germany

Der Unfallchirurg
D SchneidmuellerC von Rüden

Abstract

Kirschner wire osteosynthesis is considered to be the standard technique for surgical fixation of displaced supracondylar humeral and distal radial fractures in children. The Kirschner wires can be left exposed or buried under the skin. Advantages of the epicutaneous technique are, e. g. the efficiency (cost, effort) and the possibility for wire removal without the necessity of a second anesthesia. On the other hand, there is a concern about higher infection rates as well as traumatization of the children due to externally visible wires. A web-based survey of members of the DGU, DGOU, DGOOC, and the pediatric traumatology section of the DGU (SKT) was performed to evaluate current treatment concepts in Germany. The pros and cons for each technique were recorded and the need for a clinical study was examined. In addition, a cost analysis was performed for both methods. The results from the literature are summarized and discussed. A total of 710 questionnaires were evaluated. The majority of the respondents were trauma surgeons working in a hospital (80%). The buried technique was superior in both fracture groups (supracondylar humeral fractures 73% and distal radius fractures 69%), whereas a relevant difference could be found dep...Continue Reading

References

Jun 19, 2004·Journal of Pediatric Orthopedics·Franck LaunayPaul D Sponseller
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Aug 12, 2014·Journal of Pediatric Orthopedics·Scott M Sorenson, William Hennrikus
Jul 29, 2016·The Journal of Hand Surgery, European Volume·W F van LeeuwenD Ring

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Citations

Jul 3, 2020·The Journal of Hand Surgery, European Volume·João Alberto R Maradei-PereiraMarcia R Maradei-Pereira
Nov 26, 2020·Operative Orthopädie und Traumatologie·Theddy Slongo

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