The healing forearm fracture: a matched comparison of forearm refractures.

The healing forearm fracture: a matched comparison of forearm refractures. Research Abstract Details 

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The healing forearm fracture: a matched comparison of forearm refractures. Abstract Text:

Avi C Baitner,Andrew Perry,Francois D Lalonde,Tracey P Bastrom,Jeff Pawelek,Peter O Newton,Avi C Baitner,Andrew Perry,Francois D Lalonde,Tracey P Bastrom,Jeff Pawelek,Peter O Newton,

BACKGROUND: Forearm fractures in children usually heal rapidly after closed treatment. Recent studies report forearm refracture rates of 5%. The purpose of this study was to identify risk factors for refracture based on radiographic variables. METHODS: We performed a retrospective review of patients that sustained a second forearm fracture (refracture) between 1998 and 2005. Refractures were defined as having a second fracture of the same forearm within 18 months of the original fracture. A comparison group of single-fracture patients followed in a capitated insurance plan were included and matched based on age and sex. Radiographic assessment included initial/final angulation, displacement, and fracture-line visibility at latest follow-up. RESULTS: Sixty-three refractures were compared with 132 age- and sex-matched single-fracture patients. Time to refracture averaged 10 months. Thirty-eight percent of the initial fractures in the refracture group occurred in the proximal or middle third of the forearm compared with 15% for the single-fracture patients (P < 0.001). Because location of the fracture was found to be a risk factor for refracture, a secondary analysis was performed with refracture patients matched to single-fracture patients based on age, sex, bone fractured, fracture location, and treatment method. Fracture-line visibility of the radius at latest follow-up was clearly visible in 48% of refractures compared with 21% of controls (P = 0.05). Initial fracture severity and residual deformity were not significantly different. CONCLUSIONS: Proximal and middle one third forearm fractures are at greater risk of refracture compared with distal one third forearm fractures. There was a trend toward incomplete healing seen more commonly in those that refractured, emphasizing the importance of longer immobilization in these fractures. LEVEL OF EVIDENCE: Prognostic study, level III, case-control study.

The healing forearm fracture: a matched comparison of forearm refractures. Publishing Authors By Initials

AC Baitner,A Perry,FD Lalonde,TP Bastrom,J Pawelek,PO Newton,AC Baitner,A Perry,FD Lalonde,TP Bastrom,J Pawelek,PO Newton,

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PUBMED ID PMID:

MEDLINE DATE: 2007 Oct-Nov

The healing forearm fracture: a matched comparison of forearm refractures. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Journal of pediatric orthopedics

VOLUME: 27

Page Numbers: 743-7

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ISSN: 0271-6798

DAY: 19

MONTH: 09

YEAR: 2007

The healing forearm fracture: a matched comparison of forearm refractures. Information

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LANGUAGE: eng

NlmUniqueID: 8109053

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Grant and Affiliation Information for The healing forearm fracture: a matched comparison of forearm refractures.

AFFILIATION: Department of Orthopedics, Miami Children's Hospital, Miami, FL, USA.

Country: United States

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MEDLINETA: J Pediatr Orthop

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