Dr.med. Miriam Adrian*, Dr. med Miriam Renkert, Dr. med Peter Halbfas, Prof. Dr. med Thorsten Lange, Prof. Dr. med. Lucas M. Wessel
SDRP Journal of Anesthesia & Surgery
Impact Factor: 0.532
VOLUME: 2 ISSUE: 2
Miriam Adrian, Distal metaphyseal fractures of the forearm in children- a prospective, open, not randomized pilot study at the Diakonissen- Hospital in Flensburg(2017)SDRP Journal of Anesthesia & Surgery 2(2)
Background: The metaphyseal fracture of the distal forearm is the most common fracture in childhood. Nevertheless, so far no standard guideline for the treatment of these fractures is established in Germany.
Our objective, therefore, was to determine the criteria for conservative versus operative treatment, as well as the limiting factors for a conservative approach.
Methods: 193 patients under sixteen years of age were examined in follow-up appointments three and twelve months after a distal forearm fracture.
The kind of treatment in the first place (conservative or operative) was not dictated.
Results: As expected, all children with a torus fracture were treated conservatively. In fractures with an angulation, the treatment depended on the age of the child and on the decision of the consultant on call. The younger the child, the more often it was treated conservatively. If the malalignment/angulation was less than 20°, the children were usually treated conservatively, whereas no child with an angulation of more than 40° was treated conservatively. Twelve month after trauma there was no significant difference in function or anatomy between the two groups.
Conclusions: Although we only saw a limited number of patients, we came to the conclusion that the potential for the spontaneous correction of deformities of the distal forearm in children should be taken into account more often when deciding on a treatment plan.
- Bernthal NM, Mitchell S, Bales JG, Benhaim P, Silva M. Variation in practice habits in the treatment of pediatric distal radius fractures. J Pediatr Orthop B 2015; 24(5): 400-7. PMid:26110219 View Article PubMed/NCBI
- Marzi I, Leppaniemi A, Rommens PM, Rueger JM. European Journal of Trauma and Emergency Surgery Receives an Impact Factor. European journal of trauma and emergency surgery : official publication of the European Trauma Society 2010; 36(4): 299. PMid:26816033 View Article PubMed/NCBI
- Hove LM, Brudvik C. Displaced paediatric fractures of the distal radius. Archives of orthopaedic and trauma surgery 2008; 128(1): 55-60. PMid:17940779 View Article PubMed/NCBI
- Patel N, Wilson L, Wansbrough G. Do split paediatric forearm POP casts need to be completed? A biomechanical study. Injury 2015; 46(7): 1231-7. PMid:25910820 View Article PubMed/NCBI
- Kosuge D, Barry M. Changing trends in the management of children's fractures. Bone Joint J 2015; 97-B(4): 442-8. PMid:25820880 View Article PubMed/NCBI
- McLauchlan GJ, Cowan B, Annan IH, Robb JE. Management of completely displaced metaphyseal fractures of the distal radius in children. A prospective, randomised controlled trial. The Journal of bone and joint surgery British volume 2002; 84(3): 413-7. PMid:12002503 View Article PubMed/NCBI
- Alemdaroglu KB, Iltar S, Cimen O, Uysal M, Alagoz E, Atlihan D. Risk factors in redisplacement of distal radial fractures in children. The Journal of bone and joint surgery American volume 2008; 90(6): 1224-30. PMid:18519314 View Article PubMed/NCBI
- von Laer L., Worel A.M., R?der Ch., El-Kerdi A., Staub L.P., Busato A. (2005) .View Article