Naslov
Acceptable angulation of forearm fractures in children

Autori
Bašković, Marko

Izvornik
Revista Española de Cirugía Ortopédica y Traumatología (1888-4415) 67 (2023), 3; 253-254

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, stručni

Ključne riječi
forearm fracture ; acceptable angulation ; traumatology ; children ; pediatric surgery

Sažetak
Recently, we have witnessed the increasing use of surgical treatment of forearm fractures in children. Although older surgeons tend not to operate on what does not need to be operated on, younger surgeons are increasingly resorting to surgical methods. Disagreements can often be noticed among colleagues about the indication when surgical treatment should be approached. In addition to disagreements in the choice between conservative and surgical treatment, we are increasingly noticing disagreements in the conservative approach. In some cases, some advocate closed reduction, while others do not. Other centres are also recording an increase in surgical treatment, but at the same time there is an increase in the number of complications. Studies have shown an increase in delayed union, the need to frequently expose the fracture site, and wound problems. Rates of superficial infections are significantly more common than deep ones, which are associated with open fractures. Postoperative neuropraxia usually occurs transiently, without permanent deficits. Delayed union are more common in adolescents than in younger children. Neither the possibility of Extensor Pollicis Longus (EPL) rupture nor the possibility of postoperative compartment syndrome should be neglected. Generally, as greater indications for surgery are unstable and irreducible fractures, open fractures, fractures with neurovascular compromise, pathologic fractures and forearm fractures with associated humerus fracture (“floating elbow”). While there is no doubt that surgical techniques have brought advances in the treatment of forearm fractures in children, we need to know when there is an indication for the same. We must not forget that any bone manipulation in childhood requires general anaesthesia, which should be avoided if we do not have a clear indication. It is also important to note that surgical treatment, and consequently possible complications, is much more financially expensive than a conservative approach.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA