• J Pediatr Orthop · Jan 1990

    Redisplacement after closed reduction of forearm fractures in children.

    • S J Voto, D S Weiner, and B Leighley.
    • Department of Orthopaedic Surgery, Children's Hospital Medical Center, Akron, OH 44308.
    • J Pediatr Orthop. 1990 Jan 1; 10 (1): 79-84.

    AbstractReangulation and displacement after closed reduction of pediatric forearm fractures were reviewed in 90 patients treated with 1978-1984. All fractures were remanipulated and followed to union. No complications occurred and all had a functionally satisfactory result. Both intrinsic and extrinsic factors were identified as contributing to the complication of reangulation/displacement. Nonepiphyseal fractures were safely remanipulated up to 24 days postfracture, with the majority at 1-2 weeks. We conclude that 7% of pediatric forearm fractures treated by closed reduction are subject to reangulation and/or displacement following routine acceptable primary treatment, and that remanipulation provides a safe, effective means to obtain and maintain reduction.

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