Our aim was, to analyze the reasons for possible increased pain during the removal of the Kirschner wires from the elbows of children. From February 2021 to December 2021, 573 patients with elbow fractures were treated. In total, 150 patients were analyzed prospectively. No action was taken to reduce pain during the removal of Kirschner wires. The pain status of the patients was evaluated according to the Wong-Baker FACES Pain Rating scoring system (WBAS), the Numeric Rating Scale (NRS) for the pain system and the pulse and oxygen saturation measured by the pulse oximeter on the finger. Measurements were performed before, during, immediately after and 30 min after the procedure. There were 119 patients with a diagnosis of supracondylar humerus fracture and 31 patients with a diagnosis of lateral condyle fracture. The mean age of treated patients was 7.1 years (1–15 years). Of the patients, 93 were boys and 57 were girls. In the measurements made according to the sex difference, it was determined that there was a statistically significant increase in the WBAS scores measured both before the procedure (P = 0.032) and during the removal (P = 0.017), and also in the pulse measurements taken 30 min after the removal in girls (P = 0.034). A statistically significant difference was found in both the WBAS score during removal (P = 0.025) and the NRS scores 30 min later (P = 0.048) in the procedures performed on the right elbow. We found a statistically significant increase in the pain parameters we evaluated in girls, right extremity fractures, the group over 8 years old and when both parents were with the child during the K-wire removal procedure. In light of these findings, physicians should consider the above-mentioned conditions before starting the procedure to ensure a less painful and positive experience.

我们的目的是分析在从儿童肘部移除克氏针期间可能增加疼痛的原因。2021年2月至2021年12月，收治肘部骨折患者573例。总共对 150 名患者进行了前瞻性分析。在移除克氏针期间未采取任何措施来减轻疼痛。根据Wong-Baker FACES疼痛评分系统（WBAS）、疼痛系统数字评定量表（NRS）和手指脉搏血氧仪测量的脉搏和氧饱和度评估患者的疼痛状态。在手术之前、期间、之后和之后 30 分钟进行测量。诊断为肱骨髁上骨折119例，诊断为外侧髁骨折31例。接受治疗的患者的平均年龄为 7.1 岁（1-15 岁）。在这些患者中，93 名男孩和 57 名女孩。在根据性别差异进行的测量中，确定在手术前测量的 WBAS 分数在统计学上显着增加（P  = 0.032) 和移除期间 ( P  = 0.017)，以及女孩移除后 30 分钟的脉搏测量 ( P  = 0.034)。在对右肘进行的手术中，移除期间的 WBAS 评分 ( P  = 0.025) 和 30 分钟后的 NRS 评分 ( P  = 0.048) 均发现具有统计学意义的差异。我们发现，我们评估的女孩、右肢骨折、8 岁以上组以及在克氏针拔除过程中父母双方都在孩子身边的疼痛参数在统计学上显着增加。鉴于这些发现，医生在开始手术前应考虑上述情况，以确保减少痛苦和获得积极的体验。