Pediatric Forearm Fractures with Unacceptable Angulation: Is Remodeling Effective?

Murat Danışman; Abdulsamet Emet; İsmail Aykut Koçyiğit; İbrahim Mehmet Göymen; Saygın Kamacı

Makale detayları

Pediatric Forearm Fractures with Unacceptable Angulation: Is Remodeling Effective?

Yazarlar:

Murat Danışman | Abdulsamet Emet | İsmail Aykut Koçyiğit | İbrahim Mehmet Göymen | Saygın Kamacı

Yayıncı:

Eskişehir Osmangazi University

Ana Başlıklar:

Ortopedi

Dergi:

Osmangazi Tıp Dergisi Vol.46 Issue 1, pp.125-130

Belge Tipi:

Makale

Yayın Tarihi:

1/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001302309

pISSN:

1305-4953

Anahtar kelimeler:

Özet:

 The aim of this study is to examine the remaining deformity after remodeling and its relationship with pronationsupination limitation in patients with unacceptable angulation according to the literature. 45 patients who had forearm fractures treated with closed reduction and plaster cast between 2014 and 2019 were included in the study. The maximum angulation amount was determined on anteroposterior or lateral radiographs by measuring the angulation of the radius and ulna on the radiographs taken during plaster removal T1 and on the radiographs after remodeling T2 at the last follow-up. The average follow-up period was 61.6 months 36-90 months. The patients were divided into 2 groups according to the angulation in the radiographs taken on the day the cast was removed T1: Group 1 acceptable angulation, and Group 2 unacceptable angulation. While the average of maximum angulation values at T1 in Group 1 was 8.2 2.6 it was 15.4 4.1 in Group 2 p  0.002. While the mean residual angulation value at T2 was 3.5 1.8 in Group 1, it was 6.8 3.1 in Group 2 p  0.002. It was determined that 7 of 19 patients in Group 1 and 13 of 26 patients in Group 2 had a limitation of more than 10 p  0.382. Conservatively treated pediatric forearm fractures have the potential to heal to normal degrees at a high rate after remodeling, even if they have unacceptable angulation degrees, and the pronationsupination limitation in these patients is not directly related to the residual angulation degrees.

 The aim of this study is to examine the remaining deformity after remodeling and its relationship with pronationsupination limitation in patients with unacceptable angulation according to the literature. 45 patients who had forearm fractures treated with closed reduction and plaster cast between 2014 and 2019 were included in the study. The maximum angulation amount was determined on anteroposterior or lateral radiographs by measuring the angulation of the radius and ulna on the radiographs taken during plaster removal T1 and on the radiographs after remodeling T2 at the last follow-up. The average follow-up period was 61.6 months 36-90 months. The patients were divided into 2 groups according to the angulation in the radiographs taken on the day the cast was removed T1: Group 1 acceptable angulation, and Group 2 unacceptable angulation. While the average of maximum angulation values at T1 in Group 1 was 8.2 2.6 it was 15.4 4.1 in Group 2 p  0.002. While the mean residual angulation value at T2 was 3.5 1.8 in Group 1, it was 6.8 3.1 in Group 2 p  0.002. It was determined that 7 of 19 patients in Group 1 and 13 of 26 patients in Group 2 had a limitation of more than 10 p  0.382. Conservatively treated pediatric forearm fractures have the potential to heal to normal degrees at a high rate after remodeling, even if they have unacceptable angulation degrees, and the pronationsupination limitation in these patients is not directly related to the residual angulation degrees.

 The aim of this study is to examine the remaining deformity after remodeling and its relationship with pronationsupination limitation in patients with unacceptable angulation according to the literature. 45 patients who had forearm fractures treated with closed reduction and plaster cast between 2014 and 2019 were included in the study. The maximum angulation amount was determined on anteroposterior or lateral radiographs by measuring the angulation of the radius and ulna on the radiographs taken during plaster removal T1 and on the radiographs after remodeling T2 at the last follow-up. The average follow-up period was 61.6 months 36-90 months. The patients were divided into 2 groups according to the angulation in the radiographs taken on the day the cast was removed T1: Group 1 acceptable angulation, and Group 2 unacceptable angulation. While the average of maximum angulation values at T1 in Group 1 was 8.2 2.6 it was 15.4 4.1 in Group 2 p  0.002. While the mean residual angulation value at T2 was 3.5 1.8 in Group 1, it was 6.8 3.1 in Group 2 p  0.002. It was determined that 7 of 19 patients in Group 1 and 13 of 26 patients in Group 2 had a limitation of more than 10 p  0.382. Conservatively treated pediatric forearm fractures have the potential to heal to normal degrees at a high rate after remodeling, even if they have unacceptable angulation degrees, and the pronationsupination limitation in these patients is not directly related to the residual angulation degrees.

 Bu çalışmanın amacı literatüre göre aslında kabul edilemez angulasyona sahip olan hastalarda, remodelizasyon sonrası kalan deformiteyi ve bunun pronasyonsupinasyon kısıtlılığı ile ilişkisini incelemektir. 2014-2019 yılları arasında kapalı redüksiyon ve alçı ile tedavi edilmiş 45 hasta çalışmaya dahil edildi. Alçı çıkarılması sırasında çekilen radyografiler T1 ve son kontroldeki remodelizasyon sonraki grafiler T2 üzerinden radius ve ulnanın angulasyonları ölçülerek ön-arka veya yan grafilerde maksimum angulasyon miktarı belirlendi. Ortalama takip süresi 61.6 aydı 36-90 ay. Hastalar alçının çıkarıldığı gün T1 çekilen radyografilerdeki angulasyona göre 2 gruba ayrıldı Grup 1: kabul edilebilir angulasyon; Grup 2: kabul edilemez angulasyon. Grup 1de T1de maksimum angulasyon değerlerinin ortalaması 8.2 2.6 iken, Grup 2de 15.4 4.1 idi p0.002. T2de ortalama rezidü angülasyon değeri Grup 1de 3.5 1.8 iken, Grup 2de 6.8 3.1 idi p0.002. Grup 1de 19 hastanın 7sinde, Grup 2de ise 26 hastanın 13ünde pronasyon veya supinasyonda 10den fazla kısıtlılık olduğu saptandı p0.382. Konservatif tedavi edilen çocuk önkol kırıkları kabul edilemez angulasyon derecelerinde olsa bile yüksek oranda normal derecelere iyileşme potansiyeline sahip olup, hastalarda oluşan pronasyonsupinasyon kısıtlılığı rezidü angulasyon dereceleri ile direkt ilişkili değildir.

Makale detayları

Pediatric Forearm Fractures with Unacceptable Angulation: Is Remodeling Effective?

Yazarlar:

Murat Danışman | Abdulsamet Emet | İsmail Aykut Koçyiğit | İbrahim Mehmet Göymen | Saygın Kamacı

Yayıncı:

Eskişehir Osmangazi University

Ana Başlıklar:

Ortopedi

Dergi:

Osmangazi Tıp Dergisi Vol.46 Issue 1, pp.125-130

Belge Tipi:

Makale

Yayın Tarihi:

1/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001302309

pISSN:

1305-4953

Radius and ulna fracture

Closed fracture reduction

Malunion

Bone remodeling.Radius ve ulna kırığı

Kırığın kapalı redüksiyonu

Anormal kaynama

Kemik remodelizasyonu.

Sayı

Makale detayları

Yazarlar: Murat Danışman | Abdulsamet Emet | İsmail Aykut Koçyiğit | İbrahim Mehmet Göymen | Saygın Kamacı

Yayıncı: Eskişehir Osmangazi University

Ana Başlıklar: Ortopedi

Dergi: Osmangazi Tıp Dergisi Vol.46 Issue 1, pp.125-130

Belge Tipi: Makale

Yayın Tarihi: 1/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001302309

pISSN: 1305-4953

Sayı

Yazarlar:

Murat Danışman | Abdulsamet Emet | İsmail Aykut Koçyiğit | İbrahim Mehmet Göymen | Saygın Kamacı

Yayıncı:

Eskişehir Osmangazi University

Ana Başlıklar:

Ortopedi

Dergi:

Osmangazi Tıp Dergisi Vol.46 Issue 1, pp.125-130

Belge Tipi:

Makale

Yayın Tarihi:

1/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001302309

pISSN:

1305-4953