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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.

Address correspondence and reprint requests to Dr. D. S. Weiner at Department of Pediatric Orthopaedic Surgery, Children's Hospital Medical Center of Akron, 281 Locust Street, Akron, OH 44308.

© Lippincott-Raven Publishers.