Redisplacement after manipulation of distal radial fractures in children.
We reviewed 68 fractures of the distal radius in children, all treated by primary manipulation and plaster immobilisation. Complete displacement of the fracture and failure to achieve a perfect reduction were both associated with a significant increase in the chance of redisplacement. We recommend the use of percutaneous Kirschner wires to maintain a satisfactory position in all cases in which a perfect reduction cannot be achieved.
Department of Orthopaedic Surgery, Royal London Hospital, Whitechapel, UK.
M T
MT
Proctor
D J
DJ
Moore
J M
JM
Paterson
D000293:Adolescent; D000367:Age Factors; D001864:Bone Wires; D002370:Casts, Surgical; D002648:Child; D002675:Child, Preschool; D006801:Humans; D015994:Incidence; D007223:Infant; D008349:Manipulation, Orthopedic / Q000379:methods / Q000592:standards*; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000628:therapy*; D012008:Recurrence; D012189:Retrospective Studies