title: Risk of redisplacement after first successful reduction in paediatric distal radius fractures:  sensitivity assessment of casting indices.
abstract: The aim of this study was to assess the usefulness of currently available indices for casting in distal radius fractures in children and to identify risk factors associated with displacement. A cohort of 14 patients with redisplacement was compared with a cohort of 41 patients with maintenance of reduction. A significant difference (<0.008) was observed in the three-point index, the degree of comminution (<0.01) and the quality of the initial reduction (<0.003). We recommend careful identification of high-risk factors and appropriate stabilization for potentially unstable fractures at first treatment. Assessment of the three-point index is recommended for judging the moulding technique.
authors.affiliation: Department of Orthopaedics, North Tyneside General Hospital, Newcastle, UK. kailashdevalia@hotmail.com
authors.forename: Kailash L
authors.initials: KL
authors.lastname: Devalia
authors.forename: Seif S
authors.initials: SS
authors.lastname: Asaad
authors.forename: Rahul
authors.initials: R
authors.lastname: Kakkar
mesh_terms: D000293:Adolescent; D002370:Casts, Surgical; D002648:Child; D002675:Child, Preschool; D005260:Female; D018460:Fractures, Comminuted / Q000601:surgery*; D006801:Humans; D008297:Male; D011885:Radius Fractures / Q000601:surgery*; D012008:Recurrence; D012307:Risk Factors; D016896:Treatment Outcome