A Single Sugar-Tong Splint Can Maintain Pediatric Forearm Fractures
| Autor: | Davis Osborn, James F. Mooney, Brian Sleasman, William R. Barfield, Matthew A. Dow, Robert F. Murphy |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Radiography medicine.medical_treatment 03 medical and health sciences 0302 clinical medicine Forearm Deformity Humans Medicine Orthopedic Procedures Orthopedics and Sports Medicine 030212 general & internal medicine Child Reduction (orthopedic surgery) Orthodontics 030222 orthopedics business.industry Forearm Injuries Sagittal plane medicine.anatomical_structure Splints Child Preschool Coronal plane Orthopedic surgery Female Surgery medicine.symptom business Splint (medicine) |
| Zdroj: | Orthopedics. 44 |
| ISSN: | 1938-2367 0147-7447 |
| DOI: | 10.3928/01477447-20201119-06 |
| Popis: | Displaced pediatric forearm fractures often are treated with closed reduction and immobilization. Recent literature demonstrates no difference in maintaining alignment or needing repeat intervention in patients immobilized with either a single sugar-tong splint or a long-arm cast, but most series include patients with distal fractures. This study included patients 3 to 15 years old who underwent closed reduction and immobilization for displaced midshaft or proximal forearm fractures. Radiographs from the time of injury, after reduction, and at 4-week follow-up were reviewed for coronal and sagittal plane angular alignment. Secondary interventions also were recorded. A total of 121 patients (70 long-arm cast, 51 simple sugar-tong splint) met inclusion criteria. Groups were matched in terms of age ( P =.95), sex ( P =.41), body mass index ( P =.12), and angular deformity prior to reduction in the sagittal ( P =.78) and coronal ( P =.83) planes. Following closed reduction, sagittal ( P =.003) and coronal ( P =.002) alignment improved significantly in all patients. At 4-week follow-up, there were no significant differences in sagittal ( P =.15) or coronal ( P =.68) alignment between the 2 groups. Nine patients underwent a secondary intervention after the index reduction (long-arm cast, n=7; simple sugar-tong splint, n=2), with no statistically significant difference between groups ( P =.30). There were no statistically significant differences between patients managed with long-arm cast or simple sugar-tong splint regarding residual sagittal or coronal plane deformity at 4-week follow-up or incidence of secondary intervention. These findings indicate simple sugar-tong splint and long-arm cast appear to be acceptable and equivalent methods of immobilization for these injuries. [ Orthopedics . 2021;44(2):e178–e182.] |
| Databáze: | OpenAIRE |
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