Resultados clinicorradiológicos en pacientes operados con clavos de Kirschner en fracturas de antebrazo en el Instituto Nacional de Pediatría durante el periodo 2017-2019

Abstract

Introduction: Trauma is the leading cause of visits to pediatric emergency rooms, with an estimated annual rate of fractures between 12- 36.1 per 1,000 children. Radius and ulna fractures are a frequent pathology treated in the emergency department of this unit. In our hospital, a total of 46 open or closed reductions with internal fixation were performed in 2017, in 2018, 42 cases and in 2019, 51 cases. Therefore, this work will be carried out in search of the results obtained in those patients who underwent surgery for diaphyseal forearm fractures. Evaluating the clinical radiological results of operated patients will allow to know if the results obtained in this unit are similar to those reported in the national and international literature. This will help us identify areas of opportunity to implement standardized management for forearm fracture patients. Objective: To determine the clinical-radiological results in forearm fractures operated with Kirschner nails at the Instituto Nacional de Pediatría during the period 2017-2019. Material and methods: Observational, retrospective and descriptive research, where the information unit will be the electronic medical record of patients who meet the following criteria: complete according to NOM 004, diagnosed with forearm fracture, operated on open reduction or closed and fixation with Kirschner nails at the Instituto Nacional de Pediatría during the period 2017-2019. Results: A total of 139 cases were identified that met the inclusion criteria, frequencies of the affected sex, side and fractured area were found similar to those reported in other series. Only one case presented complications, this being an exposed fracture with subsequent wound dehiscence. The healing time was increased in patients with exposed fractures and in those in whom open reduction was performed. Conclusions: I n the present study it was found that the clinical and radiological results of these patients are good in almost all cases, comparable to that reported in the national and international literature. Closed reduction obtains shorter consolidation times, as well as fewer complications.