Redisplacement after closed reduction of forearm fractures in children

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Voto-S-J. Weiner-D-S. Leighley-B. Department of Orthopaedic Surgery, Children's Hospital Medical J-Pediatr-Orthop. 1990 Jan-Feb. 10(1). P 79-84. Reangulation and displacement after closed reduction of pediatric [m forearm fractures were reviewed in 90 patients treated with 1978-1984. All fractures were remanipulated and followed to union. No complications occurred and all had a functionally satisfactory result. Both intrinsic and extrinsic factors were identified as contributing to the complication of reangulation/displacement. Nonepiphyseal fractures were safely remanipulated up to 24 days postfracture, with the majority at 1-2 weeks. We conclude that 7% of [1mpediatric [m forearm fractures treated by closed reduction are subject to reangulation and/or displacement following routine acceptable primary treatment, and that remanipulation provides a safe, effective means to obtain and maintain reduction. Author-abstract.