HEFT Repository

Displaced paediatric distal radius fractures--when should we use percutaneous wires?

Jordan, R W and Westacott, D J (2012) Displaced paediatric distal radius fractures--when should we use percutaneous wires? Injury, 43 (6). pp. 908-11. ISSN 1879-0267. This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login IDs

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Official URL: http://www.sciencedirect.com/science/article/pii/S...

Abstract

PURPOSE

To establish the intra-operative radiographic parameters that predict the need for percutaneous wire fixation to prevent redisplacement following manipulation for displaced paediatric distal radius fractures.

MATERIALS AND METHODS

A retrospective study of 105 children, assessing pre-, intra- and post-operative radiographs. Optimal reduction was defined as less than 10% residual translation and less than 5° of angulation on anteroposterior and lateral radiographs. Redisplacement was defined as more than 20° angulation or 50% translation on either view.

RESULTS

No fracture that was optimally reduced redisplaced. 40% of fractures with suboptimal reduction redisplaced. Initial translation was significantly associated with redisplacement.

CONCLUSIONS

If our criteria for optimal reduction are met, closed reduction and casting can be confidently employed. If not, percutaneous wires should be employed to avoid redisplacement, especially in cases with a high grade of initial translation.

Item Type: Article
Additional Information: This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login IDs
Subjects: WE Musculoskeletal. Orthopaedics
WS Paediatrics. Child health
Divisions: Planned IP Care > Trauma and Orthopaedics
Related URLs:
Depositing User: Mrs Caroline Tranter
Date Deposited: 10 Jul 2014 12:12
Last Modified: 10 Jul 2014 12:12
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/415

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