Factors Responsible for Redisplacement of Pediatric Forearm Fractures Treated by Closed Reduction and Cast: Role of casting indices and three point index

Indian Journal of Orthopaedics
Rajesh AroraRavi Sreenivasan

Abstract

Pediatric forearm fractures are still considered an enigma in view of their propensity to redisplace in cast. The redisplacement may be a potential cause for malalignment. We prospectively analyzed the role of risk factors and above casting indices in predicting significant redisplacement of pediatric forearm fractures treated by closed reduction and cast. 113 patients of age range 2-13 years with displaced forearm fractures, treated by closed reduction and cast were included in this prospective study. Prereduction and postreduction angulation, translation, and shortening were noted. In addition, for distal metaphyseal fractures, obliquity angle was noted. In postreduction X-ray, apart from fracture variables, casting indices were also noted (cast index [CI] for all patients with three-point index [TPI] and second metacarpal radius angle in addition for distal metaphyseal fractures). In 2nd week, X-rays were again obtained to check for significant redisplacement. These patients were managed with remanipulation and casting or were operated if remanipulation failed. Comparison of various risk factors was made between patients with significant redisplacement and those which were acceptably reduced. A subgroup analysis of patients ...Continue Reading

References

Nov 1, 1990·Journal of Pediatric Orthopedics·C T PriceJ C Flynn

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Citations

Sep 11, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Alysia SengabInger Birgitta Schipper
Sep 22, 2018·Indian Journal of Orthopaedics·Anil Agarwal
Jan 30, 2021·JBJS Case Connector·Andrew CarloneVincent Prusick
May 15, 2021·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Edward ComptonMelissa A Bent
Jun 23, 2021·Chinese Journal of Traumatology = Zhonghua Chuang Shang Za Zhi·Roman WirtzFrédéric Schuind
Jul 20, 2021·The American Journal of Emergency Medicine·Kristene M RimbaldoSandy M Hopper

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Methods Mentioned

BETA
X-ray
sedation

Software Mentioned

SPSS

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