{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T17:16:33Z","timestamp":1784999793790,"version":"3.55.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjectives: This study was designed to evaluate our departmental policy of plaster immobilization and selective Kirschner (K) wiring for the management of displaced distal radius fractures in children.\\r\\nMethods: On a retrospective basis, we evaluated a consecutive series of 112 childhood displaced distal radius fractures (108 patients; 77 boys, 31 girls; mean age 10.5\u00b12.6 years; range 5 to 16 years) presenting with clinical deformity during a two-year period. There were 97 incompletely displaced (86.6%), and 15 completely displaced (13.4%) fractures. All the fractures were managed with manipulation under general anesthesia and plaster immobilization. Additionally, K-wire fixation was performed following manipulation in seven (46.7%) of the completely displaced fractures. The mean follow-up period was 1.1 years (range 10 weeks to 2 years). \\r\\nResults: The mean angulation of fractures prior to manipulation was 21.5\u00b110.1\u00b0, it decreased to 2.4\u00b14.8\u00b0 following manipulation. Remanipulation was required in 11 fractures (9.8%) based on clinical and radiographic findings of redisplacement. Of these, eight fractures (8.3%) were incompletely displaced, and three fractures (20%) were completely displaced. All completely displaced fractures that required remanipulation had been additionally treated with K-wire fixation. Fractures requiring further treatment had a mean angulation of 17.1\u00b15.8\u00b0 prior to remanipulation, and a mean residual angulation of 4.7\u00b16.0\u00b0 at final radiographic assessment. A perfect fracture reduction was achieved in all the patients with a Salter-Harris II injury (n=22), and none of these patients required remanipulation. However, the quality of initial reduction was not associated with the development of redisplacement. There was no significant difference between isolated distal radius fractures (n=58) and combined radius and ulna fractures (n=32) with respect to remanipulation rate and final angulation (p&gt;0.05). Final radiographs showed a significantly greater angulation in fractures which were initially completely displaced in comparison with those that were incompletely displaced (8.2\u00b17.1\u00b0 vs. 4.2\u00b15.7\u00b0; p=0.024), but this was not of clinical significance. None of the patients had radial shortening and no K-wire related complications were encountered.\\r\\nConclusion: Our data suggest that there should be other factors involved in the development of redisplacement and the need for remanipulation other than the degree of fracture displacement and the quality of initial reduction. Selective K-wire fixation in displaced fractures does not seem to decrease redisplacement and remanipulation rates.\n\n\u00d6zet\n\nAma\u00e7: \u00c7ocuklarda g\u00f6r\u00fclen yer de\u011fi\u015ftirmi\u015f distal radius k\u0131r\u0131klar\u0131n\u0131n tedavisinde klini\u011fimizde kullan\u0131lan y\u00f6ntem olan al\u00e7\u0131 ile sabitleme ve se\u00e7ici olarak Kirschner (K) teli uygulama y\u00f6ntemi de\u011ferlendirildi.\\r\\n\u00c7al\u0131\u015fma plan\u0131: \u0130ki y\u0131ll\u0131k s\u00fcre i\u00e7inde klinik deformite ile getirilen ard\u0131\u015f\u0131k 112 yer de\u011fi\u015ftirmi\u015f distal radius k\u0131r\u0131\u011f\u0131 (108 \u00e7ocuk; 77 erkek, 31 k\u0131z; ort. ya\u015f 10.5\u00b12.6; da\u011f\u0131l\u0131m 5-16) geriye d\u00f6n\u00fck olarak de\u011ferlendirildi. K\u0131r\u0131klar\u0131n 97\u2019si k\u0131smi (%86.6), 15\u2019i (%13.4) tamamen yer de\u011fi\u015ftirmi\u015fti. T\u00fcm k\u0131r\u0131klar genel anestezi alt\u0131nda manip\u00fclasyon ve al\u00e7\u0131 tespiti ile tedavi edildi. Ayr\u0131ca, tamamen yer de\u011fi\u015ftirmi\u015f yedi k\u0131r\u0131kta (%46.7) manip\u00fclasyondan sonra se\u00e7ici K-teli tespiti uyguland\u0131. Ortalama takip s\u00fcresi 1.1 y\u0131l (da\u011f\u0131l\u0131m 10 hafta-2 y\u0131l) idi.\\r\\nSonu\u00e7lar: Manip\u00fclasyon \u00f6ncesinde k\u0131r\u0131klar\u0131n ortalama a\u00e7\u0131lanmas\u0131 21.5\u00b110.1\u00b0 idi, manip\u00fclasyondan sonra a\u00e7\u0131lanma ortalama 2.4\u00b14.8 dereceye d\u00fc\u015ft\u00fc. Klinik ve radyografik incelemelerde yer de\u011fi\u015ftirmenin tekrarlad\u0131\u011f\u0131 g\u00f6r\u00fclen 11 k\u0131r\u0131kta (%9.8) tekrar manip\u00fclasyon gerekti. Bunlar\u0131n sekizinde (%8.3) ba\u015flang\u0131\u00e7ta k\u0131smi yer de\u011fi\u015ftirme, \u00fc\u00e7\u00fcnde (%20) tam yer de\u011fi\u015ftirme vard\u0131. Yeniden manip\u00fclasyon gerektiren tam yer de\u011fi\u015ftirmeli k\u0131r\u0131klar\u0131n t\u00fcm\u00fcne ek olarak K-teli ile tespit uygulanm\u0131\u015ft\u0131. Yeniden tedavi gerektiren k\u0131r\u0131klarda ikinci manip\u00fclasyon \u00f6ncesi ortalama a\u00e7\u0131lanma derecesi 17.1\u00b15.8\u00b0, son radyografik incelemelerde 4.7\u00b16.0\u00b0 bulundu. Salter-Harris tip II yaralanmas\u0131 olan t\u00fcm hastalarda (n=22) m\u00fckemmel k\u0131r\u0131k red\u00fcksiyonu sa\u011fland\u0131 ve hi\u00e7birinde tekrar manip\u00fclasyon gerekmedi. Bununla birlikte, ilk red\u00fcksiyonun kalitesi ile yer de\u011fi\u015ftirmenin tekrarlamas\u0131 aras\u0131nda ili\u015fki bulunmad\u0131. \u0130zole distal radius k\u0131r\u0131\u011f\u0131 olan (n=58) ve radius ve ulna k\u0131r\u0131\u011f\u0131n\u0131n birlikte g\u00f6r\u00fcld\u00fc\u011f\u00fc (n=32) olgular aras\u0131nda tekrar manip\u00fclasyon oran\u0131 ve son a\u00e7\u0131lanma derecesi a\u00e7\u0131s\u0131ndan anlaml\u0131 fark bulunmad\u0131 (p&gt;0.05). Son radyografilerde, ba\u015flang\u0131\u00e7ta tam yer de\u011fi\u015ftirmi\u015f k\u0131r\u0131klarda, k\u0131smi yer de\u011fi\u015ftirmi\u015f olanlara g\u00f6re a\u00e7\u0131lanma anlaml\u0131 derecede daha fazlayd\u0131 (8.2\u00b17.1\u00b0 ve 4.2\u00b15.7\u00b0; p=0.024) idi; ancak, bu fark klinik olarak \u00f6nemli bulunmad\u0131. Hi\u00e7bir hastada radial k\u0131salma veya K-teline ba\u011fl\u0131 herhangi bir komplikasyon g\u00f6r\u00fclmedi.\\r\\n\u00c7\u0131kar\u0131mlar: Sonu\u00e7lar\u0131m\u0131z, yer de\u011fi\u015ftirmenin tekrarlamas\u0131 ve yeniden manip\u00fclasyon gereksiniminde a\u00e7\u0131lanma derecesi ve ilk red\u00fcksiyonun kalitesi d\u0131\u015f\u0131nda ba\u015fka fakt\u00f6rlerin de etkili oldu\u011funu d\u00fc\u015f\u00fcnd\u00fcrmektedir. Yer de\u011fi\u015ftirmi\u015f k\u0131r\u0131klarda se\u00e7ici K-teli tespitinin yer de\u011fi\u015ftirmenin tekrar\u0131 ve yeniden manip\u00fclasyon oranlar\u0131n\u0131 azaltmad\u0131\u011f\u0131 g\u00f6r\u00fclmektedir.<\/jats:p>","DOI":"10.3944\/aott.2010.2133","type":"journal-article","created":{"date-parts":[[2010,7,15]],"date-time":"2010-07-15T04:05:54Z","timestamp":1279166754000},"page":"117-123","source":"Crossref","is-referenced-by-count":16,"title":["Selective Kirschner wiring for displaced distal radial fractures in children"],"prefix":"10.5152","volume":"44","author":[{"given":"Karen","family":"L. Luscombe","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samena","family":"Chaudhry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"S. M. Dwyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chezhiyan","family":"Shanmugam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Maffulli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,8]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2368\/2325","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T10:56:38Z","timestamp":1763463398000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2368"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2010,1,2]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2010.2133","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,8]]}}}