TY  - JOUR
PY  - 2004//
TI  - Complications and outcomes of open pediatric forearm fractures
JO  - Journal of pediatric orthopedics
A1  - Luhmann, Scott J.
A1  - Schootman, Mario
A1  - Schoenecker, Perry L.
A1  - Dobbs, Matthew B.
A1  - Gordon, J. Eric
SP  - 1
EP  - 6
VL  - 24
IS  - 1
N2  - Few reports have documented the complications and outcomes of open pediatric forearm fractures. The authors completed of all patients (1987-1999) with open forearm fractures. Sixty-five patients with 65 injured extremities were identified, with an average age of 10.3 years. Fifty-two open fractures were grade I, 12 were grade II, and 1 was grade IIIA. Implants stabilized 40 extremities (62%), which improved alignment but not outcome. Forearms initially stabilized with implants did not undergo additional realignment procedures (0%), compared with 18.5% of forearms without stabilization. Eleven patients (16.9%) experienced complications. Overall, 47 (72%) were classified as having excellent results, 11 (17%) as good, and 7 (11%) as fair. Open pediatric forearm fractures have a high percentage of excellent and good outcomes. Early, thorough surgical débridement produces a low frequency of deep infections, and bony stabilization can be a safe technique, permitting more anatomic alignment and preventing the need for reoperation due to malalignment.<p /> <p>Language: en</p>
LA  - en
SN  - 0271-6798
UR  - http://dx.doi.org/
ID  - ref1
ER  -