Document Type : Original Article
Authors
1
Assistant Professor of Orthopedics Department, Clinical Research Development Unit, Shahid Madani Medical Education Center, medical school, Alborz University of Medical Sciences, karaj , iran
2
Department of orthopedic surgery, Student Research Committee , medical School , Alborz University of Medical Sciences , karaj , iran
3
Assistant Professor of Orthopedics Department, Clinical Research Development Unit, Shahid Madani Medical Education Center, medical school, Alborz University of Medical Sciences, karaj, iran
4
Department of orthopedic surgery, Student Research Committee, medical School, Shahid Beheshti University of Medical Sciences, tehran, iran
5
General Practitioner, medical School, Qazvin University of Medical Sciences, qazvin, iran
Abstract
Aims:
Distal radius fracture (DRF) has the highest rate among pediatric fractures. The management of distal radius fractures in children has to be as non-invasive as possible, which requires definitive care for proper reduction and stabilization. This study was designed to evaluate the short-term complications of pinning radius fractures in children, help the surgeon make an appropriate decision according to the situation of patients, and also look for solutions to reduce complications.
Methods:
In this cohort study, patients diagnosed with distal radius fracture aged 3-15 years who visited Shahid Madani Hospital in Karaj were evaluated. Demographic characteristics and type of fracture of patients who underwent pinning of distal radius fractures, were collected after obtaining their consent. Then the complications of patients were evaluated based on Clavien-Dindo-Sink, and dahl scores four and five weeks, and three and six months after the surgery.
Findings:
According to the Clavien-Dindo-Sink score, 96 cases had no complications, 35 cases had complications of grade 1, 27 cases had complications of grade 2, 9 cases had complications of grade 3, and 1 patient had complications of grade 4. In the examination of the DahlPin operative site complication score, 108 cases had no operative site complications, 30 cases had complications of grade 1, 22 cases had complications of grade 2, 6 cases had complications of grade 3, and 2 cases had complications of grade 4. Four cases had transient neurapraxia and 20 cases had limited range of motion.
Conclusion:
The results obtained from this study create a more comprehensive understanding of the complications and weaknesses of the percutaneous pinning treatment method for distal radius fracture patients.
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