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1. A PATIENT UNDERWENT CLOSED REDUCTION OF A CLOSED FRACTURE FULL
2. A PATIENT UNDERWENT CLOSED REDUCTION OF A CLOSED FRACTURE SERIES

14, 15 Intramedullary nails are the more popular choice given their ease of use, short operative time, and minimal surgical dissection.6 Sinikumpu et al. 2, 9, 13, 14 Intramedullary nails or plate-and-screw constructs are options for fracture fixation both methods of stabilization have been shown to be similarly effective. Recently, operative internal fixation has become increasingly common in these types of injuries. 11 Adolescents nearing skeletal maturity are usually treated according to adult criteria due to their limited remodeling capability. For these patients, the upper limits in the coronal and sagittal planes include 20 degrees in the distal third, 15 degrees in the middle third, and 10 degrees in the proximal third. In children with at least 2 years of growth remaining, greater angulation after closed reduction is acceptable. 9, 10 Acceptable angulation before surgical intervention varies with age and fracture location.

6, 7, 8 Closed reduction and immobilization is the preferred method when possible, as it avoids many of the inherent risks of an incision and hardware implantation. Previous studies have confirmed the efficacy of each technique in treating these injuries. 3, 4, 5īBFFs can be managed with closed reduction and cast immobilization or with closed or open reduction and internal fixation. Stable reduction to maintain acceptable alignment is especially important in older children who are the most prone to malunion due to limited remodeling capability.

A PATIENT UNDERWENT CLOSED REDUCTION OF A CLOSED FRACTURE FULL

1, 2 Of these, both bone forearm fractures (BBFFs) can be particularly problematic biomechanically and must heal in acceptable alignment to maintain full functionality of the upper extremity. KEYWORDS Both bone forearm fracture, open reduction, BBFF, pediatric forearmįorearm fractures are among the most common orthopedic injuries in the pediatric population with significantly increased incidence in recent years.

A PATIENT UNDERWENT CLOSED REDUCTION OF A CLOSED FRACTURE SERIES

LEVEL OF EVIDENCE Therapeutic Level IV, Case Series The findings of this study may assist in pre-operative planning and patient counseling in treatment of both-bone forearm fractures. Patients who are male are significantly more likely to require an open reduction. Initial fracture displacement does not help predict the need for an open reduction at the time of surgery. 11.11%, p=0.030).ĬONCLUSION At our institution, 42.5% of patients with BBFFs treated with IM fixation required open reduction. There were no statistically significant associations between the need to perform an open reduction and patient age, mechanism of injury, time to operating room, ulnar or radial fracture location, angulation, translation, or shortening however, males were more likely than females to require an open reduction (88.89% vs. 42.5% (n=17) were treated with open reduction and IM fixation of either the radius (11.8%, n= 2) or both bones (88.2%, n= 15). The mean age at injury was 10.83 (☓.02) years. Of these, 28 were male, and 12 were female. RESULTS 40 patients with operatively treated BBFFs were identified. We compared those treated with closed reduction to those treated with open reduction. Closed reduction was first attempted in all patients who underwent open reduction.

Patient demographics, injury mechanism, and surgery-related data were collected. METHODS We analyzed data of all patients who presented to a Level I pediatric trauma center with radiographically confirmed diaphyseal BBFFs treated with intramedullary (IM) fixation between 20. The purpose of our study was to identify factors associated with the need to perform an open reduction during operative treatment of BBFFs. Little data exist to help surgeons predict which BBFFs will require open reduction. Previously reported rates of open reduction in operatively managed BBFFs range from 8% to 72%. Both bone forearm fractures (BBFFs) can usually be treated non-operatively but may require hardware implantation with or without open reduction. OBJECTIVE Forearm fractures are a common pediatric injury.