Marcheix Pierre-Sylvain, Peyrou Philippe, Longis Bernard, Moulies Dominique, Fourcade Laurent
Department of Orthopaedic Surgery, Children's Hospital, Limoges, France.
J Pediatr Orthop B. 2011 Nov;20(6):372-5. doi: 10.1097/BPB.0b013e32834920fd.
The aim of this study was to retrospectively identify the role of plaster in redisplacement of dorsal distal radius fracture in children. A total of 60 children with displaced dorsal distal radius fractures were included in this study. All these fractures were reduced under general anesthesia. A total of 22 redisplacements were observed. Statistical analysis was performed to search for risk factors of redisplacement. Poor modeling immobilization of the wrist in the cast, studied by the three-point index was the only significant risk factors for redisplacement. The three-point index is an excellent index to predict redisplacement and assess the quality of the cast treatment of these fractures. The type of study or level of evidence is therapeutic IV.
本研究的目的是回顾性确定石膏在儿童桡骨远端背侧骨折再移位中的作用。本研究共纳入60例桡骨远端背侧移位骨折患儿。所有这些骨折均在全身麻醉下进行复位。共观察到22例再移位情况。进行统计分析以寻找再移位的危险因素。通过三点指数研究发现,石膏固定时腕关节塑形固定不佳是再移位的唯一显著危险因素。三点指数是预测再移位和评估这些骨折石膏治疗质量的优秀指标。本研究类型或证据水平为治疗性四级。