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Acceptance of angulation in the non-operative treatment of paediatric forearm fractures

Ploegmakers, Joris J.W.; Verheyen, Cees C.P.M.

Journal of Pediatric Orthopaedics B:
doi: 10.1097/01.bpb.0000210594.81393.fe
Traumas
Abstract

Forearm fractures are the most common injury in paediatric traumatology. The unique properties of the juvenile skeleton make it possible to cope well with traumatic deformities such as angulation, apposition and displacement. While we make use of these properties, the exact mechanism and degree of healing remains obscure. Different types of forearm fractures require specific treatment options, each with its limitations. A meta-analysis of recent literature was carried out, and together with the opinions of 18 international experts an effort was made to provide insight into the limits of acceptance of angular deformation in the non-operative treatment of paediatric forearm fractures. With this information we constructed graphs (age versus angulation) for each of the eight types of paediatric forearm fractures. In the absence of proper trials, it is our opinion that the presented Isala graphs can provide useful support in the decision-making process of acceptance of angular deformities in paediatric forearm fractures.

Author Information

Department of Orthopaedic Surgery and Traumatology, Isala Clinics (Weezenlanden Hospital), GM Zwolle, The Netherlands

Correspondence and requests for reprints to Dr C.C.P.M. Verheyen, Department of Orthopaedic Surgery and Traumatology, Isala Clinics (Weezenlanden Hospital), PO Box 10500, 8000 GM Zwolle, The Netherlands

Tel: +031 (0)38 4242203; fax: +031 (0)38 4243220; e-mail: c.c.p.m.verheyen@isala.nl

© 2006 Lippincott Williams & Wilkins, Inc.