Article
Orthopedics
Topi Laaksonen, Jussi Kosola, Nicolas Nietosvaara, Jani Puhakka, Yrjana Nietosvaara, Antti Stenroos
Summary: The incidence and optimal treatment of completely displaced overriding distal metaphyseal radial fractures in children are still uncertain. This study observed 112 patients and found that casting these fractures in an overriding position in the emergency department can avoid the use of opioids, anesthesia, hospital admission, and secondary interventions, and has a high treatment satisfaction rate.
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2022)
Article
Orthopedics
Topi Laaksonen, Jani Puhakka, Ussi Kosola, Antti Stenroos, Matti Ahonen, Yrjana Nietosvaara
Summary: A questionnaire survey involving 213 surgeons from 28 countries revealed that most surgeons prefer reduction treatment for pediatric overriding distal radius fractures. There is significant lack of consensus on the indications for fixation, type of cast, length of immobilization, and follow-up protocol.
Article
Pediatrics
Hai Zhou, Ge Zhang, Ming Li, Xing Liu, Xiangyang Qu, Yujiang Cao, Liuqi Weng, Yuan Zhang
Summary: This study retrospectively evaluated the efficacy of a novel CRPP technique for MDJ fractures in 14 children, demonstrating successful reduction and fixation with shorter surgery duration and fewer complications compared to conventional methods. Both groups achieved satisfactory clinical and radiographic outcomes at the last follow-up.
FRONTIERS IN PEDIATRICS
(2021)
Article
Surgery
Guangwei Wang, Liwei Huo, Yidong Xu, Gerong Dai, Zhong Yang, Jianwei Hu, Weinian Liu
Summary: This study investigated the clinical efficacy of closed manipulation combined with splinting in the treatment of displaced distal radial and ulnar fractures in children. The results showed that treatment by manual repositioning with external splinting achieved satisfactory results with simple operation, low cost, short hospital stay, and few complications, which is suitable to be promoted in primary hospitals.
FRONTIERS IN SURGERY
(2023)
Article
Orthopedics
Hongyu Meng, Bin Xu, Yi Xu, Haiyun Niu, Ning Liu, Donglei Sun
Summary: This retrospective study evaluated the use of percutaneous fixation with a cemented K-wire frame for the treatment of types A2, A3, and B1 distal radius fractures. The study found that this technique is safe and effective, with high success rates, no fixation failure or K-wire migration, and no occurrence of osteomyelitis. Patients showed excellent wrist function and high satisfaction levels.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Surgery
J. -J. Sinikumpu, Y. Nietosvaara
Summary: This article discusses the treatment practices for distal forearm fractures, focusing on incomplete and complete fractures based on age and skeletal development. The treatment methods include splinting, reduction, and K-wire fixation, with emphasis on proper alignment and monitoring for healing.
SCANDINAVIAN JOURNAL OF SURGERY
(2021)
Article
Pediatrics
Fei Qiao, Xiaohong Guan, Fei Jiang, Ping Lv
Summary: In the past, open reduction and internal fixation (ORIF) was commonly used for the treatment of obviously displaced lateral condyle fractures of the humerus in children. However, recent studies have shown that closed reduction and percutaneous pinning (CRPP) can also be effective. This retrospective investigation analyzed the radiographic and clinical results of patients with these fractures, and a new classification and algorithm for closed reduction was proposed.
FRONTIERS IN PEDIATRICS
(2023)
Article
Orthopedics
Sondre Stafsnes Hassellund, Ingrid Oftebro, John Haakon Williksen, Endre Soreide, Jan Erik Madsen, Frede Frihagen
Summary: Recent guidelines recommend non-operative treatment for displaced distal radius fractures in elderly patients. In this study, closed reduction and casting were evaluated, and most patients showed improved alignment at final follow-up. An aligned volar cortex seemed to protect against loss of radial length.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Article
Medicine, General & Internal
Beom-Soo Kim, Chul-Hyun Cho, Kyung-Jae Lee, Si-Wook Lee, Seok-Ho Byun
Summary: This study examined TFCC injuries in patients with distal-radius fractures using MRI and found a statistical relationship between radial shortening and the pattern of TFCC injury.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Orthopedics
Matias Sepulveda, Cecilia Tellez, Victor Villablanca, Estefania Birrer
Summary: Physeal injuries of the distal femur can lead to significant alterations in axes and length. Distal metaphyseal corner-type fractures are classically associated with child abuse, while sports-related fractures and car accidents are common causes in children over 10 years old. Imaging, such as X-rays or CT/MRI, is crucial for diagnosis, and both conservative and surgical treatments are valid options depending on the fracture type. Long-term follow-up is necessary due to the risk of permanent physeal damage until skeletal maturity is complete.
EFORT OPEN REVIEWS
(2022)
Article
Orthopedics
Weifeng Li, Hui Li, Haiying Wang, Shunyi Wang
Summary: The study demonstrates that ultrasound-guided preoperative localization is an effective approach in reducing operative time, radial nerve exposure time, and intraoperative bleeding volume in the treatment of extra-articular distal humeral shaft fractures.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Surgery
Alfred P. Yoon, Melissa J. Shauver, David W. Hutton, Kevin C. Chung
Summary: Casting is the most cost-effective treatment modality for elderly patients with closed extraarticular distal radius fractures, while percutaneous pinning may be the most cost-effective surgical intervention in unstable closed fractures.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2021)
Article
Orthopedics
Christos Garnavos
Summary: For most meta-diaphyseal femoral fractures treated with intramedullary nailing, using the 'blocking' screw technique as an adjunctive process can help achieve satisfactory reduction without exposing the fracture site, thus reducing complications such as nonunion, infection, and wound healing problems.
EFORT OPEN REVIEWS
(2021)
Article
Orthopedics
Alexander J. Hoffer, Stefan A. St George, Daniel K. Banaszek, Darren M. Roffey, Henry M. Broekhuyse, Jeffrey M. Potter
Summary: Re-reduction is commonly performed for displaced distal radius fractures to achieve satisfactory alignment and avoid surgery. However, its efficacy in improving radiographic alignment and reducing the need for operative intervention is unclear.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2023)
Article
Pediatrics
Miriam Kalbitz, Ina Lackner, Mario Perl, Jochen Pressmar
Summary: This retrospective observational study aimed to present the outcome of a series of pediatric patients with radial head and neck fractures. A total of 67 pediatric and adolescent patients were included, and the study found that the fracture type of the proximal radius in children was age-dependent, and the treatment outcome was influenced by the reduction technique and fracture displacement.
FRONTIERS IN PEDIATRICS
(2023)