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Redisplacement after manipulation of distal radial fractures in children
M T Proctor1, D J Moore, J M Paterson
1Department of Orthopaedic Surgery, Royal London Hospital, Whitechapel, UK.
Abstract:
We reviewed 68 fractures of the distal radius in children, all treated by primary manipulation and plaster immobilisation. Complete displacement of the fracture and failure to achieve a perfect reduction were both associated with a significant increase in the chance of redisplacement. We recommend the use of percutaneous Kirschner wires to maintain a satisfactory position in all cases in which a perfect reduction cannot be achieved.