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RCT
ACE Report #4888
Ace Report Cover Pediatric Orthopaedics

K-wires reduce re-displacement of distal both-bone forearm fractures in children


Study Type:Therapy
OE Level Evidence:2
Journal Level of Evidence:N/A

Re-displacement of stable distal both-bone forearm fractures in children: a randomised controlled multicentre trial

Injury. 2013 Apr;44(4):498-503. doi: 10.1016/j.injury.2012.11.001. Epub 2012 Dec 3

Contributing Authors: JW Colaris JH Allema LU Biter MR de Vries CP van de Ven RM Bloem AJ Kerver M Reijman JA Verhaar

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Synopsis

128 children with a displaced metaphyseal both-bone fracture of the distal forearm underwent reduction and stabilisation. Patients were randomized to wear an above-elbow cast either with or without percutaneous fixation using Kirschner wires, to determine whether the wires helped prevent the need for re-displacement. Following 6 months of evaluations, Kirschner wire stabilisation with above-elbow ...

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