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Erschienen in:
01.02.2004 | Original Article
Remodeling capacity and functional outcome of palmarly versus dorsally displaced pediatric radius fractures in the distal one-third
Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 1/2004
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Introduction
The purpose of this retrospective study was to compare the remodeling capacity and functional outcome of palmarly and dorsally displaced pediatric radius fractures in the distal one-third.
Materials and methods
Fifty-three children with a residual dorsal angulation of 15° (range 10°–28°, ±SD 5.32) and 31 children with a residual palmar angulation of 15° (range 10°–30°, ±SD 4.88) at fracture healing were re-examined clinically and radiologically with a median follow-up time of 10 years (range 5–15 years).
Results
There was no difference in the remodeling capacity, palmar tilt, radial inclination, and ulnar variance between both groups at follow-up. Pain as well as flexion/extension of the wrist and pronation showed no difference in both groups. Palmarly displaced fractures showed a significantly higher restriction of supination (p=0.01).
Conclusion
We conclude that remodeling of residual palmar angulation occurs to the same extent as it does in dorsal angulation. Functional outcome differs in forearm supination.