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Conversion to below-elbow cast after 3 weeks is safe for diaphyseal both-bone forearm fractures in children.
- Source :
- Acta Orthopaedica; Oct2013, Vol. 84 Issue 5, p489-494, 106p, 1 Black and White Photograph, 1 Diagram, 4 Charts
- Publication Year :
- 2013
-
Abstract
- Background It is unclear whether it is safe to convert above-elbow cast (AEC) to below-elbow cast (BEC) in a child who has sustained a displaced diaphyseal both-bone forearm fracture that is stable after reduction. In this multicenter study, we wanted to answer the question: does early conversion to BEC cause similar forearm rotation to that after treatment with AEC alone? Children and methods Children were randomly allocated to 6 weeks of AEC, or 3 weeks of AEC followed by 3 weeks of BEC. The primary outcome was limitation of pronation/supination after 6 months. The secondary outcomes were re-displacement of the fracture, limitation of flexion/extension of the wrist and elbow, complication rate, cast comfort, complaints in daily life, and cosmetics of the fractured arm. Results 62 children were treated with 6 weeks of AEC, and 65 children were treated with 3 weeks of AEC plus 3 weeks of BEC. The follow-up rate was 60/62 and 64/65, respectively with a mean time of 6.9 (4.7-13) months. The limitation of pronation/supination was similar in both groups (18 degrees for the AEC group and 11 degrees for the AEC/BEC group). The secondary outcomes were similar in both groups, with the exception of cast comfort, which was in favor of the AEC/BEC group. Interpretation Early conversion to BEC cast is safe and results in greater cast comfort. [ABSTRACT FROM AUTHOR]
- Subjects :
- ANALYSIS of variance
CONFIDENCE intervals
FOREARM injuries
BONE fractures
MEDICAL cooperation
HEALTH outcome assessment
SURGICAL plaster casts
RESEARCH
STATISTICS
U-statistics
DATA analysis
RANDOMIZED controlled trials
VISUAL analog scale
TREATMENT effectiveness
INTER-observer reliability
DATA analysis software
STATISTICAL models
DESCRIPTIVE statistics
CHILDREN
Subjects
Details
- Language :
- English
- ISSN :
- 17453674
- Volume :
- 84
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Acta Orthopaedica
- Publication Type :
- Academic Journal
- Accession number :
- 91808151
- Full Text :
- https://doi.org/10.3109/17453674.2013.850010