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Redisplacement After Closed Reduction of Forearm Fractures in Children.

Voto, Stephen J. M.D.; Weiner, Dennis S. M.D.; Leighley, Bonnie R.N., P.N.A.
Journal of Pediatric Orthopaedics: January/February 1990
Redisplacement After Closed Reduction of Forearm Fractures in Children: PDF Only

Summary: Reangulation and displacement after closed reduction of pediatric forearm fractures were reviewed in 90 patients treated with 1978-1984. All fractures were remanipulated and followed to union. No complications occurred and all had a functionally satisfactory result. Both intrinsic and extrinsic factors were identified as contributing to the complication of reangulation/displacement. Nonepiphyseal fractures were safely remanipulated up to 24 days postfracture, with the majority at 1-2 weeks. We conclude that 7% of pediatric forearm fractures treated by closed reduction are subject to reangulation and/or displacement following routine acceptable primary treatment, and that remanipulation provides a safe, effective means to obtain and maintain reduction.

(C) Lippincott-Raven Publishers.