Treatment Results Following Percutaneous Kirschner-Wire Fixation for Displaced Distal Forearm Fractures in Children

Background: Percutaneous Kirschner-wire (K-wire) fixation is a surgical technique that is commonly used to treat displaced distal forearm fractures in children. It involves the insertion of small wire pins through the skin and into the bone fragments to hold them in place. The aim of this study was to evaluate the treatment results following percutaneous K-wire fixation for displaced distal forearm fractures in children. Materials and methods: This prospective observational study was conducted at the Department of Orthopedic Surgery, Chattagram Maa-O-Shishu Hospital Medical College Bangladesh. The study duration was almost 4 years, from January 2019 to December 2022. During this period, a total of 45 cases of displaced distal forearm fractures attending the study hospital had been admitted to the study population following inclusion and exclusion criteria. Results: 42.22% of the participants had been between the ages of 5-9 years, 53.33% had been male, 62.22% had their right side affected, 64.44% had both ulna and radius affected, while none had only ulna affected. Category IV fractures were the most common, with a 64.44% prevalence. Wrist movement had improved for all patients by the 8th week of follow-up, while forearm movement had improved by 68.89% by their 8th week of follow-up. The final patient outcome was excellent for 71.11% of participants and good for the remaining participants. Post-operative residual deformities and category of fracture had a significant association with the patient’s outcome. Conclusion: The study observed a higher incidence of distal forearm fractures among children over 5 years of age and a slight male prevalence among the participants. Wrist movement had improved for all patients by the 8th week of follow-up, but forearm movement had a slight loss of rotation for some patients even at the 8-week follow-up. The outcome was excellent for the majority, and 28.89% had good outcomes. Patients’ outcome was significantly associated with fracture category and post-operative residual deformities. Chatt Maa Shi Hosp Med Coll J; Vol.25 (2); July 2026; Page 51-56