Casting Versus Percutaneus Pinning Treatment of Pediatric Overriding Distal Forearm Fractures
Casting in Finger-trap Traction Without Reduction Versus Closed Reduction and Percutaneous Pin Fixation of Dorsally Displaced, Overriding Distal Metaphyseal Radius Fractures in Under Eleven Years Old Children
Töölö Hospital
60 participants
Jun 29, 2020
INTERVENTIONAL
Conditions
Summary
This is a randomized controlled trial comparing casting in finger-trap traction without reduction versus closed reduction and percutaneous pin fixation of dorsally displaced, overriding distal metaphyseal radius fractures in under eleven years old children.
Eligibility
Inclusion Criteria2
- Child with open epiphysis with closed overriding metaphyseal distal radial fracture with or without an associated fracture of the ulna
- Normal communication development (languages Finnish, Swedish, English)
Exclusion Criteria7
- Bilateral forearm injuries
- Gustillo-Anderson grade II or III open fracture
- Galeazzi fracture-dislocation
- Polytrauma
- Neurovascular injury of the ipsilateral upper extremity
- History of a displaced forearm fracture
- Underlying disease affecting fracture healing
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Interventions
Cast immobilisation is done using finger trap traction. The fractured forearm is splinted above elbow with dorsal cast without attempted reduction.
Reduction under fluoroscopic guidance and fixation using two crossing 1.6mm K-wires.
Locations(1)
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NCT04323410