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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
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Related Experiment Video

Updated: Sep 8, 2025

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

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Prescribing braces after forearm fractures does not decrease refracture rate.

Matthew R Bauer1, Stephen A Albanese

  • 1Department of Orthopedics, SUNY Upstate Medical University, Syracuse, New York, USA.

Journal of Pediatric Orthopedics. Part B
|June 13, 2022
PubMed
Summary
This summary is machine-generated.

Using a brace after cast removal for pediatric forearm fractures does not significantly reduce refracture risk. This study found no statistical difference in refracture rates between braced and unbraced children, suggesting braces offer limited clinical benefit for preventing re-injury.

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Area of Science:

  • Orthopedic surgery
  • Pediatric trauma
  • Fracture management

Background:

  • Refracture is a common complication following pediatric forearm fractures.
  • Extended immobilization with a brace post-cast removal is proposed to mitigate refracture risk.

Purpose of the Study:

  • To investigate if prescribing a brace after cast removal decreases the incidence of refracture in pediatric forearm fractures.

Main Methods:

  • Retrospective cohort study at a level I trauma center.
  • Inclusion criteria: children under 10 (girls) and 12 (boys) with forearm fractures (Jan 2013-Dec 2018).
  • Exclusion criteria: open fractures, operative intervention, physeal involvement, fracture-dislocations, etc.

Main Results:

  • 19 refractures (0.9%) occurred in 2093 patients.
  • No significant difference in refracture rates between the braced (1.0%) and unbraced (0.8%) groups (P > 0.05).
  • Greenstick fractures were the most common type leading to refracture.

Conclusions:

  • Prescribing a brace after cast removal for pediatric forearm fractures does not significantly reduce refracture rates.
  • While bracing may offer psychological benefits or extended immobilization, it lacks demonstrable efficacy in preventing re-injury.
  • Further research may explore alternative strategies for pediatric forearm fracture management.