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Closed reduction with pinning of metaphyseal fractures of thedistal radius in children

Author: 
Dr. Nitish Sharma and Dr. Amarjeet Singh
Subject Area: 
Health Sciences
Abstract: 

Background and Objectives: The aim of this study was to determine the effect of Kirschner wire fixation after closed reduction of radial metaphyseal fractures with high risk of redisplacement. This study has shown favorable outcome with closed reduction and pinning for displaced complete fractures of the distal radius in children compared with closed reduction and casting alone, which showed a high rate of redisplacement in addition to complications that develop from extreme positions for maintaining reduction and anxiety developed from remanipulation of fractures. Methods: During the period between July 2016 and July 2017, 30 cases of metaphyseal fractures of the distal radius weremanaged by closed reduction and primary pinning with the application of a forearm cast. Results: No case of redisplacement was reported until complete healing, and no major complications were observed. Conclusion: It appears that primary pinning for distal radius fractures is a simple and safe method that can be used as an alternative to closed reduction and casting alone in the treatment of displaced metaphyseal fractures of the distal radius in children (from 5 to 12 years), and this study supports previous studies on this method of treatment.

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