Reduction versus remodeling in pediatric distal forearm fractures: a preliminary cost analysis

Pediatric Distal Radial Fractures Treated by Emergency Physicians

“…In our study, the age range and gender distribution was similar to other studies (3,4,7). There were no statistically significant differences between the two groups in regards to age, gender, fracture type, degree of angulation, severity of fracture displacement, or the presence of a growth plate injury.…”

“…Immediate closed reduction and cast immobilization is the mainstay of management for most fractures (3)(4)(5). Several long-term follow-up studies have shown that most children treated with closed reduction heal without complications or long-term problems (4,6,7).…”

Pediatric Distal Radius and Forearm Fractures

“…Prior studies, however, have suggested that fractures with less than 15°of angulation and up to 1cm of shortening will demonstrate complete remodeling without functional impairment in skeletally immature patients. 13 The overall risk of physeal arrest after distal radial physeal fracture is approximately 4%. 14,15 In displaced distal ulnar physeal fractures, the risk of posttraumatic growth disturbance is higher, approaching 50%.…”

Therapieprinzipien distaler Unterarmfrakturen im Kindesalter

“…So ist die Korrektur von Achsfehlstellungen von 0,9° im Monat, d.h. 10° in einem Jahr dokumentiert [6]. Do und Kollegen berichteten über ein Remodeling einer Fehlstellung von 15° im Durchschnitt bereits nach 7,5 Monaten [7]. Insgesamt sind daher Fehlstellungen bei kleinen Kindern bis zu 50° ausgleichbar [8].…”

“…Während der Goldstandard in der Behandlung bei Erwachsenen die offene, anatomische Reposition und Plattenosteosynthese der Radiusfraktur ist [12], führt im Kindesalter meist die exakte Reposition des RaAbb. 7 …”