Risk Factors for Failure of Closed Forearm Fracture Reduction in the Pediatric Emergency Department.
Pediatric emergency care(2022)
Abstract
Most pediatric forearm fractures can be successfully managed by closed reduction in the ED. Two-bone fractures had the strongest association with reduction failure. Refracture, open fracture, midshaft location, initial radius bone translation of 37% and higher (and not initial angulation), and patient age of 10 years and older are independent risk factors for reduction failure in two-bone fractures. We propose a risk score for reduction failure that can serve as a decision-making tool.
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Key words
forearm fracture, closed reduction, surgical intervention
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