TY - JOUR
PY - 2021//
TI - Re-fractures of the paediatric radius and/or ulna: a systematic review
JO - ANZ journal of surgery
A1 - Bhanushali, Ameya
A1 - Axelby, Evelyn
A1 - Patel, Prajay
A1 - Abu-Assi, Rabieh
A1 - Ong, Belinda
A1 - Graff, Christy
A1 - Kraus, Manuel
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - BACKGROUND: Fractures of the radius and/or ulna are one of the most common injuries in children. Evidence identifying risk factors for refracture, however, has not been summarised in a systematic review. Guidance for counselling patients and parents to minimise the risk of refracture is limited. The aims of this study are to 1) to determine if casting time 6 weeks or less is a risk factor for refracture after paediatric radius and/or ulna fractures, 2) to identify other risk factors for refracture after paediatric radius and/or ulna fractures and 3) to develop more accurate guidelines for counselling parents after a radius and/or ulna fracture in their child.
METHODS: A thorough search was performed in accordance with the Joanna Briggs Institute (JBI) guidelines for systematic review. JBI Critical Appraisal checklists were used for risk of bias assessment.
RESULTS: Diaphyseal both-bone fractures treated non-surgically should be casted for longer than 6 weeks. Surgically treated patients can be casted for less than 6 weeks. Diaphyseal and greenstick fractures have a higher risk of refracture. Residual angulation and incomplete healing in greenstick fractures may lead to a higher risk of refracture. Gender does not affect refracture risk. Falls, use of wheeled vehicles, playground activities and trampolining confer high-risk of refracture. Refracture risk is greatest up to 9 months from initial fracture.
CONCLUSION: Further case-controlled studies with sub-group analysis are required to further investigate risk factors for refracture after radius and/or ulna fractures in children. Language: en
LA - en
SN - 1445-1433
UR - http://dx.doi.org/10.1111/ans.17191
ID - ref1
ER -