Academic Journal
Below-elbow cast sufficient for treatment of minimally displaced metaphyseal both-bone fractures of the distal forearm in children: long-term results of a randomized controlled multicenter trial
| العنوان: | Below-elbow cast sufficient for treatment of minimally displaced metaphyseal both-bone fractures of the distal forearm in children: long-term results of a randomized controlled multicenter trial |
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| المؤلفون: | Linde Musters, Leon W Diederix, Kasper C Roth, Pim P Edomskis, Gerald A Kraan, Jan H Allema, Max Reijman, Joost W Colaris |
| المصدر: | Acta Orthopaedica, Vol 92, Iss 4, Pp 468-471 (2021) |
| بيانات النشر: | Medical Journals Sweden, 2021. |
| سنة النشر: | 2021 |
| المجموعة: | LCC:Orthopedic surgery |
| مصطلحات موضوعية: | Orthopedic surgery, RD701-811 |
| الوصف: | Background and purpose — We have previously shown that children with minimally displaced metaphyseal both-bone forearm fractures, who were treated with a below-elbow cast (BEC) instead of an above-elbow cast (AEC), experienced more comfort, less interference in daily activities, and similar functional outcomes at 7 months’ follow-up (FU). This study evaluates outcomes at 7 years’ follow-up. Patients and methods — A secondary analysis was performed of the 7 years’ follow-up data from our RCT. Primary outcome was loss of forearm rotation compared with the contralateral forearm. Secondary outcomes were patient-reported outcome measures (PROMs) consisting of the ABILHAND-kids and the DASH questionnaire, grip strength, radiological assessment, and cosmetic appearance. Results — The mean length of FU was 7.3 years (5.9–8.7). Of the initial 66 children who were included in the RCT, 51 children were evaluated at long-term FU. Loss of forearm rotation and secondary outcomes were similar in the 2 treatment groups. Interpretation — We suggest that children with minimally displaced metaphyseal both-bone forearm fractures should be treated with a below-elbow cast. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1745-3674 1745-3682 17453674 |
| Relation: | https://doaj.org/toc/1745-3674; https://doaj.org/toc/1745-3682 |
| DOI: | 10.1080/17453674.2021.1889106 |
| URL الوصول: | https://doaj.org/article/4e766c3200914d32977915de2010110f |
| رقم الانضمام: | edsdoj.4e766c3200914d32977915de2010110f |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 17453674 17453682 |
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| DOI: | 10.1080/17453674.2021.1889106 |