Voto S J, Weiner D S, Leighley B
Department of Orthopaedic Surgery, Children's Hospital Medical Center, Akron, OH 44308.
J Pediatr Orthop. 1990 Jan-Feb;10(1):79-84.
Reangulation 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.
回顾了1978年至1984年接受治疗的90例小儿前臂骨折闭合复位后的再成角和移位情况。所有骨折均再次进行手法复位并随访至愈合。未发生并发症，所有患者功能结果均令人满意。内在和外在因素均被认为是导致再成角/移位并发症的原因。非骨骺骨折在骨折后24天内均可安全地再次进行手法复位，大多数在1至2周。我们得出结论，常规可接受的初次治疗后，7%的小儿前臂骨折闭合复位会出现再成角和/或移位，再次手法复位是获得并维持复位的一种安全、有效的方法。
