医学
外科
经皮
固定(群体遗传学)
畸形
并发症
桡骨骨折
外固定
前瞻性队列研究
经皮穿针
还原(数学)
内固定
人口
外固定器
手腕
环境卫生
数学
几何学
作者
Bruce S. Miller,Brett Taylor,Roger F. Widmann,Donald S. Bae,Brian D. Snyder,Peter M. Waters
出处
期刊:Journal of Pediatric Orthopaedics
[Ovid Technologies (Wolters Kluwer)]
日期:2005-07-01
卷期号:25 (4): 490-494
被引量:142
标识
DOI:10.1097/01.bpo.0000158780.52849.39
摘要
Thirty-four patients were enrolled in a prospective randomized study comparing cast immobilization alone versus percutaneous pin fixation following closed reduction of distal radial metaphyseal fractures. Patients older than 10 years of age with greater than 30 degrees of dorsal angulation or with complete fracture displacement were eligible for enrollment. Average follow-up was 10.5 weeks. All fractures healed uneventfully without deformity, growth arrest, or functional limitations. Overall complication rates were similar between groups. Thirty-nine percent of patients treated with casting had subsequent loss of reduction requiring remanipulation; there were no cases of loss of reduction in patients treated with pin fixation. Thirty-eight percent of patients treated with pin fixation had pin-related complications; all resolved following pin removal without long-term sequelae. Cost analysis showed no significant difference in treatment charges between groups. Treating surgeons should be aware of the potential short-term complications of each treatment method and adjust their postoperative care appropriately.
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