Devalia Kailash L, Asaad Seif S, Kakkar Rahul
Department of Orthopaedics, North Tyneside General Hospital, Newcastle, UK.
J Pediatr Orthop B. 2011 Nov;20(6):376-81. doi: 10.1097/BPB.0b013e328349212d.
The aim of this study was to assess the usefulness of currently available indices for casting in distal radius fractures in children and to identify risk factors associated with displacement. A cohort of 14 patients with redisplacement was compared with a cohort of 41 patients with maintenance of reduction. A significant difference (<0.008) was observed in the three-point index, the degree of comminution (<0.01) and the quality of the initial reduction (<0.003). We recommend careful identification of high-risk factors and appropriate stabilization for potentially unstable fractures at first treatment. Assessment of the three-point index is recommended for judging the moulding technique.
本研究的目的是评估当前可用的用于儿童桡骨远端骨折复位的指标的实用性，并确定与移位相关的危险因素。将14例骨折再移位患者的队列与41例维持复位患者的队列进行比较。在三点指数、粉碎程度（<0.01）和初始复位质量（<0.003）方面观察到显著差异（<0.008）。我们建议在首次治疗时仔细识别高危因素，并对潜在不稳定骨折进行适当的固定。建议评估三点指数以判断塑形技术。
