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Erschienen in:
01.01.2008 | Trauma Surgery
Displaced paediatric fractures of the distal radius
Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 1/2008
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Introduction
The purpose of this study was to review, over a fixed period of time and in a geographically defined area, all paediatric fractures of the distal radius that were initially reduced. We wished to assess the fracture pattern at different ages, the seasonal variation, the severity of the initial angulation, and the radiological outcome in terms of reangulation, remodelling, refracture, growth disturbance, and functional outcome.
Materials and methods
A total of 88 patients were followed in a prospective setting (11 fractures of the distal radial physis). The pre- and post-reduction and follow-up radiological variables were measured. Patients with significant malangulation at union were re-examined after 7 years to assess the degree of spontaneous remodelling.
Results
The mean malangulation before reduction was 19°, after reduction 5° and at union 4°. Eight patients had secondary displacement during the casting period. Fractures with more than 15° of malangulation at union had completely remodelled and had normal function at final follow-up.
Conclusion
Conservative treatment may still be regarded as the gold standard for closed paediatric fractures of the distal radius. In the present series, the remodelling capacity was excellent.