Boerma, Susan (2012) Re-angulation Capacity Expected after Pediatric Forearm Fracture : Results of an international questionnaire regarding re-angulation capacity after pediatric forearm fracture. thesis, Medicine.
Full text available on request.Abstract
Forearm fractures account for 45% of all pediatric fractures.1 Of these forearm fractures angular deformity is a common feature. Remodeling is an important aspect in the healing of these angulated fractures to regain normal alignment. It remains unclear to what degree an angular deformity is accepted in general use for conservative treatment in daily practice. The main objective of this study is to provide insight in the traumatologist’s acceptable degree of angulation for conservative treatment of angulated forearm fractures in children. Secondly, we compared our results with the Isala graphs to find whether the accepted angulations of forearm fractures differ. Fractures selected for this research are common and suggested to have the highest remodeling potential2,3 namely: the distal 1/3 both bone forearm fracture, the distal radial physis fracture, and the distal radial greenstick fracture. We obtained our data by conducting a questionnaire under trauma and orthopedic surgeons, connected to the University hospitals in the Netherlands, the NVT or the BVOT. We had a response rate of 4,78%. With a response rate of 4,78% the maximum acceptable degree of angulation for considering a conservative treatment is 13 to 14 degrees at the age of 0 years, and 4 to 5 degrees at the age of 15 years. When we compare our results with the Isala graphs there is a reasonable difference. The Isala graphs show acceptance of a reasonable higher degree of angulation for conservative treatment, than according to what specialists consider reasonable to remodel
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Ploegmakers, J. and Department of Orthopedics, University Medical Centre Groning |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:58 |
| Last Modified: | 25 Jun 2020 10:58 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/1839 |
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