ArticleBMC musculoskeletal disorders2020
Fixation of delayed distal radial fracture involving metaphyseal diaphyseal junction in adolescents: a comparative study of crossed Kirschner-wiring and non-bridging external fixator.
Article in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 23 citations in OpenAlex.
- [Closed reduction guided with ultrasound for distal radius metaphysis fracture in children].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026Article
- Why it's better to believe in a larger definition of the diametaphyseal junction zone in pediatric distal radius fractures.Archives of orthopaedic and trauma surgery · 2026Article
- Biomechanical stability of five fixation techniques for pediatric distal radius metaphyseal-diaphyseal junction fractures: a finite element analysis.Scientific reports · 2026Article
- [Comparative analysis of effectiveness of two single-pin internal fixation techniques in treatment of pediatric distal radial metaphyseal diaphyseal junction fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026Article
- Effectiveness of long K-wire percutaneous intramedullary fixation for distal radius metaphyseal-diaphyseal transition zone fractures.Frontiers in pediatrics · 2026Article
- Modified retrograde K-wire intramedullary fixation for treating pediatric distal radius diaphyseal-metaphyseal junction fractures: a novel method and a retrospective study.European journal of medical research · 2025Article
- [Antegrade elastic intramedullary nailing fixation via a novel approach through proximal radius for distal radius metaphyseal-diaphyseal junction fractures in children].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Article
- Article
- Introducing the forearm fracture index to define the diametaphyseal junction zone through clinical evaluation in a cohort of 366 diametaphyseal radius fractures.Archives of orthopaedic and trauma surgery · 2025Article
- Modified external fixation technique for treatment of distal radial metaphyseal-diaphyseal junction fractures in pediatric patients.Frontiers in pediatrics · 2025Article
- External fixator versus elastic stable intramedullary nail for treatment of metaphyseal-diaphyseal junction fractures of the pediatric distal femur: a case-control study.BMC musculoskeletal disorders · 2024Article
- Elastic stable intramedullary nailing versus Kirschner wire in the treatment of pediatric metaphyseal-diaphyseal junction fractures of the distal radius: a case-control study.BMC musculoskeletal disorders · 2023Article
- A Novel Method for Treating Distal Radius Diaphyseal Metaphyseal Junction Fracture in Children.Medical science monitor : international medical journal of experimental and clinical research · 2023Article
- Precision shaping of elastic stable intramedullary nail for the treatment of metaphyseal diaphysis junction fracture of the distal radius in children: a preliminary report in two centers.BMC musculoskeletal disorders · 2023Article
- Comparison of three fixation methods in paediatric metaphyseal-diaphysis junction fracture of the distal radius: a retrospective study in two centres.Frontiers in pediatrics · 2023Article
- Treatment of Distal Radius Fractures with Bridging External Fixator with Optional Percutaneous K-Wires: What Are the Right Indications for Patient Age, Gender, Dominant Limb and Injury Pattern?Journal of personalized medicine · 2022Article
- Limited Open Reduction and Transepiphyseal Intramedullary Kirschner Wire Fixation for Treatment of Irreducible Distal Radius Diaphyseal Metaphyseal Junction Fracture in Older Children.Frontiers in pediatrics · 2022Article
- DOES ULNA FIXATION ALTER THE OUTCOME FOR DISTAL-THIRD FOREARM FRACTURES IN CHILDREN?Acta ortopedica brasileira · 2022Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundConservative treatment remains the preferred choice for distal radius fracture in children. However, loss of reduction is problematic, especially in an older child. Crossed Kirschner-wires is widely used to treat distal radius fracture in adolescents. This study aimed to compare the application of crossed Kirschner-wiring (KW) and non-bridging external fixator (EF) for the treatment of delayed distal radial fracture involving metaphyseal diaphyseal junction (MDJ) in adolescents.
methodsBetween January 2012 to January 2017, 146 (male = 101, female = 45) patients in EF group and 117 (male = 76, female = 41) in KW group, were reviewed retrospectively. Preoperative data were collected from the hospital database, and postoperative clinical outcomes data were collected during the follow-up visits. We used SPSS for data analysis.
resultsThere existed no significant difference between EF and KW regarding sex, body weight, fracture side, duration from injury to surgery. The duration of surgery was significantly shorter in EF (30.5 ± 6.1 min) than the KW group (44.6 ± 9.4 min), P < 0.001. The number of intraoperative X-ray images was significantly lower in EF (6.5 ± 1.1) than KW (11.8 ± 2.3), P < 0.001. The incidence of tendon irritation is significantly higher in the KW (19.7%) than the EF group (0%), P < 0.001. The residual angulation on the AP view was higher in KW (3.8 ± 2.3, degrees) than the EF group (2.5 ± 1.6, degrees), P < 0.001. The volar tilting is better in EF (6.6 ± 1.1, degrees) than the KW group (1.0 ± 1.5, degrees), P < 0.001. However, the functional outcomes of the wrist showed no significant difference between EF and KW group, P = 0.086.
conclusionThe EF was superior to KW in the treatment of radial MDJ fractures in adolescents. The EF displayed shorter duration of surgery, less tendon irritation, and better radiographic outcomes than the KW. However, the cost-effect analysis remains to be investigated, because the EF is more expensive than KW.
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