Delayed open surgery for distal radius epiphyseal plate fracture in children

作者全名："Hu, Jianyang; Hu, Jie; Su, Yuxi"

作者地址："[Hu, Jianyang] Chongqing Med Univ, Natl Clin Res Ctr Child Hlth & Disorders, Minist Educ, Key Lab Child Dev & Disorders,Childrens Hosp,Chong, 136 Zhongshan Rd 2, Chongqing 400014, Peoples R China; [Hu, Jie] Chongqing Med Univ, Natl Clin Res Ctr Child Hlth & Disorders, Childrens Hosp, Minist Educ,Chongqing Key Lab Pediat,Dept Orthopae, Chongqing, Peoples R China; [Su, Yuxi] Chongqing Med Univ, Childrens Hosp, Dept Orthoped, Chongqing, Peoples R China; [Su, Yuxi] Minist Educ, Key Lab Child Dev & Disorders, Chongqing, Peoples R China; [Su, Yuxi] Natl Clin Res Ctr Child Hlth & Disorders, Chongqing, Peoples R China; [Su, Yuxi] China Int Sci & Technol Cooperat Base Child Dev &, Chongqing, Peoples R China; [Su, Yuxi] Chongqing Med Univ, Jiangxi Hosp, Affiliated Childrens Hosp, Chongqing, Peoples R China"

通信作者："Hu, J (通讯作者)，Chongqing Med Univ, Natl Clin Res Ctr Child Hlth & Disorders, Childrens Hosp, Minist Educ,Chongqing Key Lab Pediat,Dept Orthopae, Chongqing, Peoples R China.; Su, YX (通讯作者)，Chongqing Med Univ, Childrens Hosp, Dept Orthoped, Chongqing, Peoples R China.; Su, YX (通讯作者)，Minist Educ, Key Lab Child Dev & Disorders, Chongqing, Peoples R China.; Su, YX (通讯作者)，Natl Clin Res Ctr Child Hlth & Disorders, Chongqing, Peoples R China.; Su, YX (通讯作者)，China Int Sci & Technol Cooperat Base Child Dev &, Chongqing, Peoples R China.; Su, YX (通讯作者)，Chongqing Med Univ, Jiangxi Hosp, Affiliated Childrens Hosp, Chongqing, Peoples R China."

来源：HAND SURGERY & REHABILITATION

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001052775700001

JCR分区：Q3

影响因子：0.9

年份：2023

卷号：42

期号：4

开始页：326

结束页：331

文献类型：Article

关键词：Distal radius fracture; Old fracture; Epiphysis; Open reduction; Children

摘要："Objectives: This study assessed the feasibility of open surgery and determined outcome predictors for late management of epiphyseal plate fracture of the distal radius in children.Methods: This retrospective study included 25 patients (22 male, 3 female) who underwent open surgery for late management of epiphyseal plate fracture of the distal radius. Wrist function was evaluated on Cooney score. Potential predictors comprised age, gender, fracture type, days after injury (DAI), degree of violence (DOV), and dorsal angulation before surgery (DABS).Results: Overall, wrist function after surgery was classified as excellent for 16 patients (64%), good for 6 (24%), and fair for 3 (12%). The rate of excellent wrist function was 86.7% (13/15) in children older than 10 years but only 40% (4/10) for those aged under 10 years (p = 0.0280). Cooney score correlated positively with age, but there was no correlation with gender, fracture type, DAI, DOV or DABS.Conclusion: Open reduction surgery for late management of distal radius epiphyseal fracture yielded good results in patients aged over 10 years.Level of evidence: III.& COPY; 2023 SFCM. Published by Elsevier Masson SAS. All rights reserved."

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