Risk factors for fracture redisplacement after reduction and cast immobilization of displaced distal radius fractures in children: a meta-analysis

Sengab, Alysia; Krijnen, Pieta; Schipper, Inger B.

doi:10.1007/s00068-019-01227-w

Cited by 31 publications

(42 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The loss of radial height and inclination, however, was minimal, and fairly consistent, for both cast types. This is despite a mean cast index of 0.83 and 0.86 for the two groups, which are above the CI previous studies have deemed acceptable for distal forearm fractures (although it is acknowledged that this may not increase the likelihood of redisplacement) [11,12]. These results suggest that the soft-combi cast may be better at maintaining fracture position, although the differences seen were not statistically signi cant within our study sample.…”

Section: Discussioncontrasting

confidence: 78%

Changing To Removable Casts During The Coronavirus Pandemic – Has It Affected Outcomes For Distal Radius Fractures?

Newman

Singh

Ramesh

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: BOAST (British Orthopaedic Association Standards for Trauma & Orthopaedics) guidelines recommended that during the coronavirus pandemic most upper limb fractures should be treated conservatively, and removable casts should be used, where possible. As a result, our district general hospital started using a new soft combination (soft-combi) casting technique for conservative management of distal radius fractures (DRFs) in an attempt to reduce follow-up attendances.Aims: To assess if radiological outcomes of soft-combi casts are better or worse than previously used rigid casts for DRFs.Methods: 20 DRFs treated with soft-combi casts were compared with 20 DRFs treated with the old rigid cast types. Radiological parameters were measured pre-manipulation, post-manipulation, at 2-week follow-up, and at final follow-up. Statistical analysis was performed to assess for significant differences seen at follow-up between the groups.Results: The mean loss of volar angulation seen at 2-week follow-up was 4.9 degrees for the rigid casts vs. 1.5 degrees for the soft-combi casts (p=0.158). The mean loss of radial height after 2 weeks was 0.2 mm vs 0.5 mm (p=0.675), and the mean loss of radial inclination was 2.0 degrees vs 1.0 degrees (p=0.349), respectively.Conclusion: The soft-combi casts appeared to be equally effective at maintaining the reduction of DRFs compared to their rigid counterparts, as no statistically significant difference was seen in our study. We can be reassured that continued use of these removable casts in the current climate is unlikely to have a detrimental effect on outcomes for DRFs.

show abstract

Section: Discussioncontrasting

confidence: 78%

Changing To Removable Casts During The Coronavirus Pandemic – Has It Affected Outcomes For Distal Radius Fractures?

Newman

Singh

Ramesh

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Multivariate logistic analysis showed that age, AO classification, operation method, ipsilateral other fractures, comminted fractures, and postoperative exercise time were independent factors influencing the prognosis of distal radius fractures. e reason is that the older the patient, the more serious the calcium loss in the body, the osteoporosis, and the worse the body function and recovery function, and other complications often occur after treatment, which greatly increases the complexity, thus leading to a poor prognosis [22][23][24]. Patients with different AO classifications have different surgical difficulties.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Postoperative Complications and Related Factors Affecting Prognosis in 50 Patients with Distal Radius Fractures

Yuan

Wang

Lü

2021

Evidence-Based Complementary and Alternative Medicine

View full text Add to dashboard Cite

Objective. To explore the postoperative complications of distal radius fractures and analyze the related factors that affect its prognosis. Methods. The clinical data of 50 patients with distal radius fractures admitted to our hospital from October 2016 to September 2019 were retrospectively analyzed. All patients were followed up for 6–12 months, and their postoperative complications were recorded. Collect general patient information and related clinical data. During the follow-up process, Gartland and Werley wrist function scoring system was used to evaluate the prognosis of patients’ joint function. Univariate analysis and multiple logistic regression models were used to analyze the related factors that affected the prognosis of patients. Results. 15 patients with postoperative complications were found during the follow-up period, with an incidence rate of 30.00%. Univariate analysis showed that the patient’s age, cause of injury, AO classification, shortened deformity, whether it was osteoporosis, surgical method, whether it was combined with other fractures on the same side, whether it was comminuted fracture, and the time to start postoperative exercise were all related to the distal radius. The prognosis of fractures is related ( P < 0.05 ). Multivariate logistic analysis showed that age, AO classification, surgical method, whether it was combined with other fractures on the same side, whether it was comminuted fracture, and the time to start postoperative exercise were the independent factors affecting the prognosis of distal radius fractures ( P < 0.05 ). Conclusion. The postoperative complications of distal radius fractures are higher. The prognosis is related to the patient’s age, AO classification, surgical method, whether it is combined with other fractures on the same side, whether it is comminuted fracture, and the time to start postoperative exercise. Therefore, choosing an appropriate surgical method and starting exercise in time can effectively improve the recovery of the patient’s wrist function and reduce the occurrence of complications.

show abstract

“…The loss of radial height and inclination, however, was minimal, and fairly consistent, for both cast types. This is despite a mean cast index of 0.83 and 0.86 for the two groups, which are above the CI previous studies have deemed acceptable for distal forearm fractures (although it is acknowledged that this may not increase the likelihood of redisplacement) [ 11 , 12 ]. These results suggest that the soft-combi cast may be better at maintaining fracture position, although the differences seen were not statistically significant within our study sample.…”

Section: Discussionmentioning

confidence: 59%

“…Manipulation was seen to improve, on average, all radiological parameters, with the greatest improvement being seen in the angulation. Anatomical reduction is a key factor to preventing DRF redisplacement after reduction and cast immobilisation [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Changing to Removable Casts During the Coronavirus Pandemic—Has It Affected Outcomes for Distal Radius Fractures?

Newman

Singh

Ramesh

et al. 2021

SN Compr. Clin. Med.

View full text Add to dashboard Cite

BOAST (British Orthopaedic Association Standards for Trauma & Orthopaedics) guidelines recommended that during the coronavirus pandemic most upper limb fractures should be treated conservatively, and removable casts should be used, where possible. As a result, our district general hospital started using a new soft combination (soft-combi) casting technique for conservative management of distal radius fractures (DRFs) in an attempt to reduce follow-up attendances. To assess if radiological outcomes of soft-combi casts are better or worse than previously used rigid casts for DRFs. Twenty DRFs treated with soft-combi casts were compared with 20 DRFs treated with the old rigid cast types. Radiological parameters were measured pre-manipulation, post-manipulation, at 2-week follow-up, and at final follow-up. Statistical analysis was performed to assess for significant differences seen at follow-up between the groups. The mean loss of volar angulation seen at 2-week follow-up was 4.9° for the rigid casts vs. 1.5° for the soft-combi casts ( p = 0.158; 95% CI , − 8.17 to 1.38). The mean loss of radial height after 2 weeks was 0.2 mm vs 0.5 mm ( p = 0.675; 95% CI , − 1.09 to 1.66), and the mean loss of radial inclination was 2.0° vs 1.0° ( p = 0.349; 95% CI , − 2.96 to 1.07), respectively. The soft-combi casts appeared to be equally effective at maintaining the reduction of DRFs compared to their rigid counterparts, as no statistically significant difference was seen in our study. We can be reassured that continued use of these removable casts in the current climate is unlikely to have a detrimental effect on outcomes for DRFs.

show abstract

Risk factors for fracture redisplacement after reduction and cast immobilization of displaced distal radius fractures in children: a meta-analysis

Cited by 31 publications

References 41 publications

Changing To Removable Casts During The Coronavirus Pandemic – Has It Affected Outcomes For Distal Radius Fractures?

Changing To Removable Casts During The Coronavirus Pandemic – Has It Affected Outcomes For Distal Radius Fractures?

Analysis of Postoperative Complications and Related Factors Affecting Prognosis in 50 Patients with Distal Radius Fractures

Changing to Removable Casts During the Coronavirus Pandemic—Has It Affected Outcomes for Distal Radius Fractures?

Contact Info

Product

Resources

About