[Treatment of physeal fractures in children].

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Abstract

[Indexed for MEDLINE] 16. Med Arch. 2023;77(5):384-390. doi: 10.5455/medarh.2023.77.384-390. A Retrospective Analysis from A Single Center Perspective On Complications After Fixing Distal Radius Fracture In Pediatric Population. Alomran AK(1), Alhawas AM(1), Almulhim AI(1), Alfehaid MS(2), Alumran AK(3), Alkharashi AF(1), Alabdulwahab NM(4), Alalwan RE(5). Author information: (1)Department of Orthopedic, College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia. (2)Orthopaedic Department, Al Omran General Hospital, Al Omran City, Saudi Arabia. (3)Public Health Departement, Imam Abdulrahman Bin Faisal University, Khubar, Saudi Arabia. (4)Orthopaedic Department, Dammam Medical Complex, Dammam, Saudi Arabia. (5)Orthopaedic Department, King Hamad University Hospital, Bahrain. BACKGROUND: The Distal radius fractures in the pediatric age group have similar complications to any other fracture. One interpretation of the high fracture incidence in the distal third of the radius is the relative weakness of the metaphyseal part. OBJECTIVE: The aim of this study is to provide an evaluation of Surgical complications of distal radius through satisfactory reduction and proper fixation by K-wires through bone growth plates. METHODS: A retrospective single-center study in a tertiary hospital in Eastern Saudi Arabia from 2000 to 2021, using the hospital's electronic records system. The Inclusion criteria of this study involve all distal radius fracture cases who underwent surgical fixation by k-wire or plating system and are up to 14 years old. The exclusion criteria include loss of follow-up, incomplete data, and age of more than 14 years. RESULTS: the study included 103 patients. The side of injury was almost equally distributed between the left and right sides. The odds of having at least one complication increase by 2.5 folds if the site of fracture is at the diaphysis. Further, if the distance of the fracture line to the epiphysis is more than 20 mm, the odds of reporting at least one complication post-procedure is 4.4 times higher than if it was at the level of the epiphysis. The majority of diaphyseal fractures required less than 6 weeks for radiological healing, which is significantly different from other sites which were evaluated. CONCLUSION: Complications of distal radius fracture due to Surgical intervention could be confounded by the complexity of the fracture itself. In our study, we found the distance of the fracture from the physis was inversely proportional to the likelihood of complications. For a comprehensive appreciation of physeal plate, we recommend extended follow-up for those who present with signs of severe distal radius fracture, especially in case of associated ulnar fracture. © 2023 Ammar K. Alomran, Abdulaziz M. Alhawas, Ahmed I .Almulhim, Mohammad S. Alfehaid, Arwa K. Alumran, Abdullah F. Alkharashi, Noof M. Alabdulwahab, Reem E. Alalwan. DOI: 10.5455/medarh.2023.77.384-390 PMCID: PMC10825739