Portal de Periódicos da CAPES

Predictors of conversion from conservative to operative treatment of pediatric forearm fractures

2013; Wolters Kluwer; Volume: 23; Issue: 2 Linguagem: Inglês

10.1097/bpb.0000000000000018

1473-5865

Corinna C. Franklin, Tishya A.L. Wren, Eric Ferkel, Alexandre Arkader,

Elbow and Forearm Trauma Treatment

Forearm fractures occur commonly in children; however, there is still uncertainty on what leads to conversion from conservative to operative management. Patients who initially underwent closed reduction and casting for diaphyseal forearm fractures were evaluated for predictors of conversion to operative management. We found that the 20 of 124 (16%) patients in whom there was conversion to operative management were significantly older (11.1 vs. 5.7 nonoperative), had less angulation in the anterior-posterior (or coronal) plane (20.2 vs. 12.8° for the radius, 17.5 vs. 7.8° for the ulna), had a more proximal ulnar fracture location, and had more translated or shortened radius fractures.