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ORIGINAL ARTICLE
Year : 2013  |  Volume : 48  |  Issue : 2  |  Page : 194-199

Closed reduction with pinning of metaphyseal fractures of the distal radius in children


Department of Orthopedics, Faculty of Medicine, Cairo University, Cairo, Egypt

Correspondence Address:
Ehab I El-Desokey
Department of Orthopedics, Faculty of Medicine, Cairo University, Cairo
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.7123/01.EOJ.0000428877.41500.5d

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Background

Recent studies have shown favorable outcome with closed reduction and pinning for displaced complete fractures of the distal radius in children compared with closed reduction and casting alone, which showed a high rate of redisplacement in addition to complications that develop from extreme positions for maintaining reduction and anxiety developed from remanipulation of fractures.

Methods

During the period between July 2008 and July 2010, 30 cases of metaphyseal fractures of the distal radius were managed by closed reduction and primary pinning with the application of a forearm cast.

Results

No case of redisplacement was reported until complete healing, and no major complications were observed.

Conclusion

It appears that primary pinning for distal radius fractures is a simple and safe method that can be used as an alternative to closed reduction and casting alone in the treatment of displaced metaphyseal fractures of the distal radius in children (from 5 to 12 years), and this study supports previous studies on this method of treatment.



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