Article ; Online: Seven-year Outcomes of Adolescent Forearm Fractures Treated With Plate Fixation.
Journal of pediatric orthopedics
2023 Volume 43, Issue 6, Page(s) e446–e450
Abstract: Background: Pediatric forearm fractures are common injuries and can sometimes require surgical treatment. Few studies have evaluated the long-term outcomes of pediatric forearm fracture plating. We evaluated long-term functional outcomes and ... ...
| Abstract | Background: Pediatric forearm fractures are common injuries and can sometimes require surgical treatment. Few studies have evaluated the long-term outcomes of pediatric forearm fracture plating. We evaluated long-term functional outcomes and satisfaction in children with forearm fractures treated with plate fixation. Methods: We performed a single-institution case series at a pediatric level 1 trauma center. Inclusion criteria were: patients with radius and/or ulna diaphyseal fractures, index surgery at 18 years of age or younger, plate fixation, and a minimum of 2 years follow-up. We surveyed patients with the QuickDASH outcome measure and supplemented this with functional outcomes and satisfaction questions. Demographics and surgery characteristics were obtained from the electronic medical record. Results: A total of 41 patients met the eligibility criteria, of whom 17 completed the survey with a mean follow-up of 7.2 ± 1.4 years. The mean age at index surgery was 13.1 ± 3.6 years (range, 4 to 17), with 65% males. All patients reported at least one symptom, with aching (41%) and pain (35%) occurring most frequently. There were 2 complications (12%), including one infection and one compartment syndrome treated with fasciotomy. Hardware removal occurred in 29% of patients. There were no refractures. The mean QuickDASH score was 7.7 ± 11.9, with an occupation module score of 1.6 ± 3.9 and a sports/performing arts module score of 12.0 ± 19.7. The mean surgery satisfaction was 92% and scar satisfaction was 75%. All patients returned to prior activities and 88% reported a return to their preoperative baseline level of function. Conclusions: Plate fixation for pediatric forearm fractures achieves osseous union but not without the potential for long-term sequelae. All patients reported residual symptoms 7 years later. Scar satisfaction and return to baseline function were imperfect. Patient education for long-term outcomes of surgery is essential, especially in the transition to adulthood. Level of evidence: Level IV, therapeutic study. |
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| MeSH term(s) | Male ; Humans ; Adolescent ; Child ; Child, Preschool ; Female ; Radius Fractures/surgery ; Cicatrix ; Forearm ; Forearm Injuries/surgery ; Ulna Fractures/surgery ; Fracture Fixation, Internal ; Bone Plates ; Treatment Outcome ; Retrospective Studies |
| Language | English |
| Publishing date | 2023-04-14 |
| Publishing country | United States |
| Document type | Journal Article |
| ZDB-ID | 604642-3 |
| ISSN | 1539-2570 ; 0271-6798 |
| ISSN (online) | 1539-2570 |
| ISSN | 0271-6798 |
| DOI | 10.1097/BPO.0000000000002412 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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