ASSESSMENT OF THE RESULTS OF DISTAL RADIUS FRACTURES TREATMENT WITHOUT SURGERY BY CAST AND SPLINT AT CAN THO CHILDREN’S HOSPITAL IN 2018 - 2019
Main Article Content
Abstract
Background: Distal radius fractures are the most common fracture of the forearm in children. Among the various treatment methods of these fractures, cast and splint immobilization are the initial treatment. Objectives: To observe the clinical, radiographic features and the treatment results of distal radius fractures in children treated by cast and splint. Materials and method: Cross-sectional, prospective study. All of the patients with distal radius fractures were treated by cast and splint immobilization. Results: 46 patients were recorded. Patients older than ten years old were 60.9 %. The male ratio was 80.4 %, and female was 19.6 percentage. The leading cause was felt that accounted for 80.4%. The right hand accounted for 63%. Extension type with lateral-posterior displacement was the commonest and was recorded by 50%. Bayonet sign was 32.6%. Radiologic results had 67.4% metaphyseal fractures, 17.4 percentage with wholly displaced fractures, 71.7% had ulna fractures. The mean time was 29.57± 4.32 minutes. The rate of secondary displacement was recorded by 8.7%. 80.4% of fractures healed within three weeks. Results were graded according to Mayo’s criteria. Excellent and good results were achieved in 97.8%, fair in 2.2%. Conclusion: cast and splint immobilization is a safe, effective treatment method of distal radius fractures in children.
Article Details
Keywords
Distal radius fractures, cast and splint immobilization
References
2. Nguyễn Văn Quang (2018), Những vấn đề trong gãy đầu dưới xương quay, Hội nghị điều trị bảo tồn cơ xương khớp TP HCM.
3. Alexander Joeris (2017), The AO Pediatric Comprehensive Classification of Long Bone Fractures (PCCF), Acta Orthop, 88(2): 123–128.
4. Daniel Jerrhag (2016), Increasing wrist fracture rates in children may have major implications for future adult fracture burden, Acta Orthop, 87(3): 296–300.
5. Deniz Akar (2018), Conservative Follow-up of Severely Displaced Distal Radial Metaphyseal Fractures in Children, Cureus, 10(9): e3259.
6. Donald S. Bae (2012), Distal Radius and Ulna Fractures, Pediatric Hand and Upper Limb Surgery, chapter 34, pp: 406-438.
7. Gaurav Mundada (2017), Type-I Monteggia with Ipsilateral Fracture of Distal Radius Epiphyseal Injury A Rare Case Report, Ann Afr Med, 16(1): 30–32.
8. Jonathan G. Schoenecker (2015), Fractures of the Distal Radius and Ulna, Rockwood and Wilkins fractures in children, pp: 349-406.
9. Juan Pretell Mazzini (2010), Paediatric forearm and distal radius fractures risk factors and re-displacement—role of casting indices, Int Orthop, 34(3): 407–412.
10. Kaye Wilkins (2009), Update on the Management Of Fractures and Dislocations Involving the Radius In the Pediatric Patient, Fractures of the Radius update-part 1.
11. Lynn T. Staheli, M.D. (2010), Management/Casting, Practice of Pediatric Orthopedics, pp: 68-70.
12. Marcell Varga (2017), Short, double elastic nailing of severely displaced distal pediatric radial fractures, Medicine (Baltimore), 96(14): e6532.
13. Marjan Kamiloski (2018), The Kapandji Technique of Closed Reduction Using Sommer - Pins in the Treatment of Completely Dislocated Fractures of the Distal Radius in Children, Open Access Maced J Med Sci, 6(2): 330–335.
14. Shi-Neng James Ling (2018), Are Unnecessary Serial Radiographs Being Ordered in Children with Distal Radius Buckle Fractures, Radiol Res Pract, 2018:5143639.
15. Zhi-Kui Zeng (2018), Is percutaneous pinning needed for the treatment of displaced distal radius metaphyseal fractures in children, Medicine (Baltimore), 97(36): e12142.