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Immediate Short-term Outcomes of Distal Radius Metaphyseal Fractures in Children

Philani Ntombela1*; Winifred Mukiibi; Loyiso Gqamana; Mmampapatla Ramokgopa


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{
  "description": "<p><strong>Introduction </strong></p>\n\n<p>Distal radius fractures are one of the commonest fractures in chil- dren [1]. Thirty percent (30%) to 40% of paediatric fractures occur in the forearm [2]. Fractures in the distal third of the forearm ac- count for 75% to 84% [1,2]. This is followed by diaphyseal fractures and fractures to the growth plate respectively [3]. Management of these fractures has many controversies. These range from manipu lation under anaesthesia (MUA) and casting alone versus the use of percutaneous pinning; the use of an above-elbow cast versus a forearm cast and the acceptable limits in cases of re-displacement. The aim of this project is to determine the immediate short-term outcomes of anagement in children treated for distal radius fractures. The distal radius is responsible for 80% of forearm growth and 40% overall upper extremity growth [4]. As a result, some studies report a radial and dorsal angular deformity up to 39&deg; and 22&deg; volar angulation with complete displacement to correct fully in children up to 10 years old [5].</p>\n\n<p>Wim VAN Leemput reported an average of 7.5 months duration for remodelling in children with an open physis [6]. Major complications following distal radius fractures are rare [4], the commonly reported complication being the high rate of re-displacement (29&ndash;48%) [3,7]. McLauchlan in his randomized controlled trial (RCT) reported 21% of fractures to redisplace early after reduction [8]. Even after an anatomical reduction, loss of reduction (LOR) was observed in 24.6% [9]. A system atic review found percutaneous pinning to have a positive effect on maintaining the initial reduction and reducing fracture complica tion rate [10]. However, the decision for insertion of Kirchner-wires (k-wires) is not without controversy. Indications are unclear.</p>", 
  "license": "https://creativecommons.org/licenses/by/4.0/legalcode", 
  "creator": [
    {
      "affiliation": "MBChB (UKZN), FC Orth (SA), PG Diploma Health Research (OX), Fellow in Tumour and Sepsis unit Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, 7 York road Parktown, Johannesburg", 
      "@type": "Person", 
      "name": "Philani Ntombela1*"
    }, 
    {
      "affiliation": "MBChB (UCT), orthopaedic registrar University of the Witwatersrand, 7 York road Parktown, Johannesburg", 
      "@type": "Person", 
      "name": "Winifred Mukiibi"
    }, 
    {
      "affiliation": "MBChB (Wits), FC Orth (SA), orthopaedic specialist Chris Hani Baragwanath Academic Hospital University of the Witwatersrand, 7 York road Parktown, Johannesburg", 
      "@type": "Person", 
      "name": "Loyiso Gqamana"
    }, 
    {
      "affiliation": "MBChB (Natal), FCS Orth (SA), MSc(Med)(Wits), orthopaedic Head of department University of the Witwatersrand, 7 York road Parktown, Johannesburg", 
      "@type": "Person", 
      "name": "Mmampapatla Ramokgopa"
    }
  ], 
  "headline": "Immediate Short-term Outcomes of Distal Radius Metaphyseal Fractures in Children", 
  "image": "https://zenodo.org/static/img/logos/zenodo-gradient-round.svg", 
  "datePublished": "2022-05-31", 
  "url": "https://zenodo.org/record/6601116", 
  "@context": "https://schema.org/", 
  "identifier": "https://doi.org/10.5281/zenodo.6601116", 
  "@id": "https://doi.org/10.5281/zenodo.6601116", 
  "@type": "ScholarlyArticle", 
  "name": "Immediate Short-term Outcomes of Distal Radius Metaphyseal Fractures in Children"
}
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