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External fixation combined with Kirschner wire internal fixation for distal radius fracture(Type A2) in children

WU Jing,YANG Ao-fei.Xinzhou Orthopedics Hospital,Wuhan 430400,China  
Objective To explore the clinical efficacy of external fixator and K-wire fixation for the treatment of children with type A2 distal radius fracture.Methods From September 2008 to March 2011,18 children with type A2 distal radius fracture were subjected to external fixator and K-wire fixation.During the postoperative follow-up period,the clinical efficacy was assessed according to the modified Gartland and Werley functional scoring system.Results Eighteen cases of distal radius fractures were healed with the healing time being 9.0 to 13.0 weeks(mean 11.3 weeks).All 18 cases were followed up for 13.0 to 42.0 months(mean 24.6 months).According to the modified Gartland and Werley functional scoring system,10 cases obtained 0 to 2 points and 8 cases 3 to 8 points for 8 cases.The excelent and effective rate was 100%.Conclusion For the children with type A2 distal radius fractures,the external fixator and K-wire fixation therapy after surgery has a shorter operative time,quicker postoperative fracture healing,less complications.
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