LOW LOSS OF REDUCTION RATES IN PEDIATRIC DISTAL RADIUS FRACTURES WITH CONSERVATIVE TREATMENT
[ X ]
Tarih
2020
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective: We aimed to assess the outcomes of conservativetreatment (closed reduction and cast immobilization) in themanagement of pediatric distal radius fractures.Material and Methods: A total of 138 pediatric patients aged 3to 16 years who sustained a distal radius fracture and underwentclosed reduction and cast immobilization in emergencydepartment were included in this retrospective study. The meanage of patients at the time of close reduction was 11.47 ± 3.60(range, 3-16) years. Age, gender, classification of fracture, side,and mechanism of injury were documented. In addition,displacement and angulation data were recorded from PACSintegrated hospital information management system. Weevaluated demographic characteristics of patients andradiographic loss of reduction.Results: A total of 50 patients were female, whereas 88 patientswere male. Thirty-one patients (22.5%) had loss of reduction.Colles fractures had significantly higher varus-valgus deformity(p<0.001; <0.001; <0.001 and <0.001, respectively) and APangulation (p=0.013; <0.001; <0.001 and <0.001, respectively)than SH type-2 and Torus/Buckle fractures at the first, second,4th, and 6th weeks follow-up views. There is no significantdifference in terms of varus-valgus deformity (p=0.160; 0.283;0.263 and 0.744, respectively) and AP angulation (p=0.996,0.943, 0.816 and 0.237, respectively) at each follow-up periodbetween female and male patients. We did not find anycorrelation between age and varus-valgus and AP angulation atthe follow-up views.Conclusion: We demonstrated that closed reduction and castimmobilization is an effective treatment method for colles, SHtype II, and Torus/Buckle distal radius fractures.
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp, Pediatri, Ortopedi
Kaynak
Kırıkkale Üniversitesi Tıp Fakültesi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
22
Sayı
2
