手腕部骨折经皮k针固定术后并发症的评价与处理

Q3 Medicine

Journal of Hand Surgery Global Online Pub Date : 2025-08-30 DOI:10.1016/j.jhsg.2025.100791

Mehmet Yalçın MD , Yusuf Kıratlıoğlu MD , Ömer Erim Kepenekçi MD , Mehmet Armangil MD , Uğur Bezirgan MD

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引用次数: 0

摘要

目的本研究旨在评估外伤所致手部和腕部骨折经皮k针固定的并发症发生频率和处理方法。方法对143例患者（男112例，女31例）333根k -钢丝进行回顾性分析。回顾了人口统计资料、手术技术、术后护理和并发症。次要并发症包括针松动、移位和浅表感染，而主要并发症包括骨不连、骨不愈合和骨髓炎。结果共发生并发症23例（16%），其中严重并发症6例，轻微并发症17例。最常见的并发症是针松动（5例）、感染（6例）和针移位（7例）。感染主要是由金黄色葡萄球菌引起的，在三个病例中发现。骨不连和骨不连需要二次干预，而一例骨髓炎需要手术清创和长期使用抗生素。结论16%的病例出现并发症，其中针移位、松动和感染是最常见的问题。虽然大多数并发症是轻微和可控的，但主要并发症如骨不连和骨髓炎需要额外的手术干预。研究类型/证据水平治疗性IV。

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Evaluation and Management of Complications Following Percutaneous K-Wire Fixation in Hand and Wrist Fractures

Purpose

This study aims to evaluate the frequency and management of complications in patients who underwent percutaneous K-wire fixation for hand and wrist fractures caused by trauma.

Methods

A total of 143 patients (112 men, 31 women) with 333 K-wires were retrospectively analyzed. Demographic data, surgical techniques, postoperative care, and complications were reviewed. Minor complications included pin loosening, migration, and superficial infections, while major complications included nonunion, malunion, and osteomyelitis.

Results

Complications were observed in 23 patients (16%), including six major and 17 minor cases. The most common complications were pin loosening (five patients), infection (six patients), and pin migration (seven patients). Infections were primarily caused by Staphylococcus aureus, identified in three cases. Nonunion and malunion required secondary interventions, whereas one osteomyelitis case necessitated surgical debridement and prolonged antibiotics.

Conclusions

Complications occurred in 16% of cases, with pin migration, loosening, and infection being the most frequent issues. Although most complications were minor and manageable, major complications such as nonunion and osteomyelitis necessitated additional surgical interventions.