TY - JOUR
T1 - Complications and Outcomes of Open Pediatric Forearm Fractures
AU - Luhmann, Scott J.
AU - Schootman, Mario
AU - Schoenecker, Perry L.
AU - Dobbs, Matthew B.
AU - Gordon, J. Eric
PY - 2004/1/1
Y1 - 2004/1/1
N2 - Few reports have documented the complications and outcomes of open pediatric forearm fractures. The authors completed of all patients (1987-1999) with open forearm fractures. Sixty-five patients with 65 injured extremities were identified, with an average age of 10.3 years. Fifty-two open fractures were grade I, 12 were grade II, and 1 was grade IIIA. Implants stabilized 40 extremities (62%), which improved alignment but not outcome. Forearms initially stabilized with implants did not undergo additional realignment procedures (0%), compared with 18.5% of forearms without stabilization. Eleven patients (16.9%) experienced complications. Overall, 47 (72%) were classified as having excellent results, 11 (17%) as good, and 7 (11%) as fair. Open pediatric forearm fractures have a high percentage of excellent and good outcomes. Early, thorough surgical débridement produces a low frequency of deep infections, and bony stabilization can be a safe technique, permitting more anatomic alignment and preventing the need for reoperation due to malalignment.
AB - Few reports have documented the complications and outcomes of open pediatric forearm fractures. The authors completed of all patients (1987-1999) with open forearm fractures. Sixty-five patients with 65 injured extremities were identified, with an average age of 10.3 years. Fifty-two open fractures were grade I, 12 were grade II, and 1 was grade IIIA. Implants stabilized 40 extremities (62%), which improved alignment but not outcome. Forearms initially stabilized with implants did not undergo additional realignment procedures (0%), compared with 18.5% of forearms without stabilization. Eleven patients (16.9%) experienced complications. Overall, 47 (72%) were classified as having excellent results, 11 (17%) as good, and 7 (11%) as fair. Open pediatric forearm fractures have a high percentage of excellent and good outcomes. Early, thorough surgical débridement produces a low frequency of deep infections, and bony stabilization can be a safe technique, permitting more anatomic alignment and preventing the need for reoperation due to malalignment.
KW - Complications
KW - Forearm fractures
KW - Open fractures
KW - Pediatric
KW - Radius fractures
KW - Ulna fractures
UR - http://www.scopus.com/inward/record.url?scp=0346158570&partnerID=8YFLogxK
U2 - 10.1097/01241398-200401000-00001
DO - 10.1097/01241398-200401000-00001
M3 - Article
C2 - 14676525
AN - SCOPUS:0346158570
SN - 0271-6798
VL - 24
SP - 1
EP - 6
JO - Journal of Pediatric Orthopaedics
JF - Journal of Pediatric Orthopaedics
IS - 1
ER -