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Clinical and radiographic comparison of single-sugar-tong splint to long-arm cast immobilization for pediatric forearm fractures.
Murphy, Robert F; Plumblee, Leah; Sleasman, Brian; Barfield, William; Dow, Matthew A; Mooney, James F.
Afiliação
  • Murphy RF; Department of Orthopaedics, The Medical University of South Carolina, Charleston, South Carolina, USA.
J Pediatr Orthop B ; 28(6): 549-552, 2019 Nov.
Article em En | MEDLINE | ID: mdl-30531491
The purpose of this study was to compare the efficacy of a single-sugar-tong splint (SSTS) to a long-arm cast (LAC) in maintaining reduction of pediatric forearm fractures, while avoiding secondary intervention. One hundred patients age 3-15 with a forearm fracture requiring a reduction and immobilization were evaluated (50 LAC and 50 SSTS). Medical records and radiographs were reviewed at injury, postreduction, and at 1, 2, and 4 weeks postinjury. Sagittal and coronal angular deformities were recorded. Any secondary intervention due to loss of reduction was documented. The groups were matched by age (P = 0.19), sex (P = 0.26), mechanism of injury (P = 0.66), average injury sagittal deformity (LAC 27.4°, SSTS 25.4°; P = 0.50), and average injury coronal deformity (LAC 15.5°, SSTS 16°; P = 0.80) At 4 weeks postinjury follow-up, there were no statistically significant differences between use of an SSTS or LAC when comparing postimmobilization sagittal alignment (LAC 10.3 ± 7.2, SSTS 8.4 ± 5.1°; P = 0.46), coronal alignment (LAC 6.9 ± 4.6, SSTS 7.6 ± 9.3°; P = 0.46), or need for repeat manipulation or surgery (LAC 4/50, SSTS 3/50; P = 0.70).
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Fraturas do Rádio / Contenções / Fraturas da Ulna / Moldes Cirúrgicos / Traumatismos do Antebraço Tipo de estudo: Observational_studies / Prognostic_studies Limite: Adolescent / Child / Child, preschool / Female / Humans / Male Idioma: En Ano de publicação: 2019 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Fraturas do Rádio / Contenções / Fraturas da Ulna / Moldes Cirúrgicos / Traumatismos do Antebraço Tipo de estudo: Observational_studies / Prognostic_studies Limite: Adolescent / Child / Child, preschool / Female / Humans / Male Idioma: En Ano de publicação: 2019 Tipo de documento: Article