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Abstract：
BACKGROUND: Several methods have been used for the treatment of pediatric distal radius fractures, such as the elastic stable intramedullary nail (ESIN), Kirschner wire (K-wire), and plate, but there has been no consensus about the optimum method. The purpose of this study was to compare ESIN and K-wire techniques used in metaphyseal-diaphyseal junction (MDJ) fractures of the pediatric distal radius.
METHODS: The data of patients who were treated at a children\'s hospital affiliated with Shandong University between August 2018 and January 2022 were analyzed retrospectively. The children were divided into the ESIN and K-wire groups. Clinical outcomes were measured by the Gartland and Werley scoring system. Variables were analyzed using a statistical approach between the two groups.
RESULTS: The study included 26 patients, of whom 11 were treated with K-wire and 15 with ESIN. At the final follow-up, all of the fractures were healed. There were no differences in terms of age, sex, fracture location, or wrist function score. However, the ESIN was superior to K-wire in operative time, fluoroscopic exposure, and estimated blood loss (EBL).
CONCLUSIONS: K-wire and ESIN are both effective methods in the treatment of MDJ fractures of the pediatric distal radius. The use of the ESIN technique represents less EBL, fluoroscopy exposure, and operation time compared with K-wire. We recommend osteosynthesis by ESIN rather than K-wires in patients with MDJ fractures of the distal radius.
METHODS: III, a case-control study.
METHODS: The data of patients who were treated at a children\'s hospital affiliated with Shandong University between August 2018 and January 2022 were analyzed retrospectively. The children were divided into the ESIN and K-wire groups. Clinical outcomes were measured by the Gartland and Werley scoring system. Variables were analyzed using a statistical approach between the two groups.
RESULTS: The study included 26 patients, of whom 11 were treated with K-wire and 15 with ESIN. At the final follow-up, all of the fractures were healed. There were no differences in terms of age, sex, fracture location, or wrist function score. However, the ESIN was superior to K-wire in operative time, fluoroscopic exposure, and estimated blood loss (EBL).
CONCLUSIONS: K-wire and ESIN are both effective methods in the treatment of MDJ fractures of the pediatric distal radius. The use of the ESIN technique represents less EBL, fluoroscopy exposure, and operation time compared with K-wire. We recommend osteosynthesis by ESIN rather than K-wires in patients with MDJ fractures of the distal radius.
METHODS: III, a case-control study.
摘要：
背景：几种方法已用于治疗小儿桡骨远端骨折，如弹性稳定髓内钉（ESIN），克氏针（K线），和盘子，但是关于最佳方法还没有达成共识。这项研究的目的是比较ESIN和K线技术在小儿桡骨远端干phy端-骨干连接（MDJ）骨折中的应用。
方法：对2018年8月至2022年1月在山东大学附属儿童医院接受治疗的患者资料进行回顾性分析。将儿童分为ESIN组和K线组。通过Gartland和Werley评分系统测量临床结果。使用统计学方法分析两组之间的变量。
结果：该研究包括26名患者，其中11人接受了K线治疗，15人接受了ESIN治疗。在最后的后续行动中，所有骨折均愈合。在年龄方面没有差异，性别,骨折位置,或手腕功能评分。然而,ESIN在手术时间上优于K线，荧光照射,估计失血量（EBL）。
结论：K-wire和ESIN均是治疗小儿桡骨远端MDJ骨折的有效方法。使用ESIN技术代表较少的EBL，透视暴露,和操作时间与K线相比。对于桡骨远端MDJ骨折患者，我们建议通过ESIN而不是K线进行骨合成。
方法：III,病例对照研究。
方法：对2018年8月至2022年1月在山东大学附属儿童医院接受治疗的患者资料进行回顾性分析。将儿童分为ESIN组和K线组。通过Gartland和Werley评分系统测量临床结果。使用统计学方法分析两组之间的变量。
结果：该研究包括26名患者，其中11人接受了K线治疗，15人接受了ESIN治疗。在最后的后续行动中，所有骨折均愈合。在年龄方面没有差异，性别,骨折位置,或手腕功能评分。然而,ESIN在手术时间上优于K线，荧光照射,估计失血量（EBL）。
结论：K-wire和ESIN均是治疗小儿桡骨远端MDJ骨折的有效方法。使用ESIN技术代表较少的EBL，透视暴露,和操作时间与K线相比。对于桡骨远端MDJ骨折患者，我们建议通过ESIN而不是K线进行骨合成。
方法：III,病例对照研究。
