Articles Vol. 67 No. CĐ7-Trường ĐH Y Dược Hải Phòng 06/07/2026

SURGICAL OUTCOMES OF CLOSED PEDIATRIC FOREARM SHAFT FRACTURES TREATED WITH KIRSCHNER WIRE FIXATION UNDER FLUOROSCOPIC GUIDANCE AT HAI PHONG CHILDREN’S HOSPITAL

Nguyen Quang Hieu1,2, Nguyen Van Trong3,4, Trinh Dinh Thanh5,6, Dang Quoc Hung1,2
1 Hai Phong Children’s Hospital
2 Bệnh viện Nhi Hải Phòng
3 Tam Anh hospital, Ha Noi.
4 Bệnh viện Đa khoa Tâm Anh Hà Nội
5 Hai Phong University of Medicine and Pharmacy
6 Trường Đại học Y Dược Hải Phòng
DOI: 10.52163/yhc.v67iCD7.5601
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Keywords
pediatric forearm fracture; Kirschner wire; fluoroscopy; internal fixation.
Abstract

Objective: To describe the clinical characteristics, injury patterns, and evaluate the treatment outcomes of closed forearm shaft fractures in children treated with Kirschner wire fixation under fluoroscopic guidance.

Subjects and Methods: A retrospective–prospective descriptive study was conducted on 140 pediatric patients treated with Kirschner wire fixation. Variables included epidemiology, injury pattern, surgical characteristics, union time, functional outcomes, and complications.

Results: The 6–10 age group accounted for 57.1%, with 69.3% males. Falls were the main cause (39.3%). Both-bone fractures were most common (57.9%), mainly at the midshaft (41.4%). Mean operative time was 40±13.9 minutes; hospital stay 6.8±2.3 days. Union occurred mostly after >8 weeks (42.1%). Good and excellent outcomes reached 92.2% with low complication rates.

Conclusion: Kirschner wire fixation under fluoroscopy is a safe and effective method with high union rates and favorable functional outcomes.

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