Redisplacement after closed reduction of forearm fractures in children.

Autor: Voto SJ; Department of Orthopaedic Surgery, Children's Hospital Medical Center, Akron, OH 44308., Weiner DS, Leighley B
Jazyk: angličtina
Zdroj: Journal of pediatric orthopedics [J Pediatr Orthop] 1990 Jan-Feb; Vol. 10 (1), pp. 79-84.
Abstrakt: Reangulation and displacement after closed reduction of pediatric forearm fractures were reviewed in 90 patients treated with 1978-1984. All fractures were remanipulated and followed to union. No complications occurred and all had a functionally satisfactory result. Both intrinsic and extrinsic factors were identified as contributing to the complication of reangulation/displacement. Nonepiphyseal fractures were safely remanipulated up to 24 days postfracture, with the majority at 1-2 weeks. We conclude that 7% of pediatric forearm fractures treated by closed reduction are subject to reangulation and/or displacement following routine acceptable primary treatment, and that remanipulation provides a safe, effective means to obtain and maintain reduction.
Databáze: MEDLINE