Factors that predict instability in pediatric diaphyseal both-bone forearm fractures

被引:10
作者
Kutsikovich, Jeffrey I.
Hopkins, Christopher M.
Gannon, Edwin W., III
Beaty, James H.
Warner, William C., Jr.
Sawyer, Jeffrey R.
Spence, David D.
Kelly, Derek M.
机构
[1] Univ Tennessee, Dept Orthopaed Surg, Campbell Clin, Memphis, TN USA
[2] Le Bonheur Childrens Hosp, Biomed Engn, Memphis, TN USA
来源
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B | 2018年 / 27卷 / 04期
关键词
both-bone fracture; children; instability; outcomes; predictive factors; NONOPERATIVE TREATMENT; ANGULAR MALALIGNMENT; CLOSED REDUCTION; SHAFT FRACTURES; PLASTER CAST; CHILDREN; REDISPLACEMENT; REMANIPULATION; DEFORMITIES; GROWTH;
D O I
10.1097/BPB.0000000000000480
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The aim of this study was to determine the factors that may predict failure of closed reduction and casting of diaphyseal forearm fractures in children. Demographic and radiographic data of children with closed reduction and casting of these fractures in the emergency department were evaluated. Of 174 patients with adequate follow-up to union, 19 (11%) required a repeat procedure. Risk factors for repeat reduction included translation of 50% or more in any plane, age more than 9 years, complete fracture of the radius, and follow-up angulation of the radius more than 15 degrees on lateral radiographs or of the ulna more than 10 degrees on anteroposterior radiographs.
引用
收藏
页码:304 / 308
页数:5
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