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In Children, Can We Nonoperatively Manage Open Forearm Fractures?

By Landon Jones, MD, and Richard M. Cantor, MD, FAAP, FACEP | on July 24, 2019 | 0 Comment
Kids korner
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Summary

Nonoperative management is a trend you may see for type I open forearm fractures in children. There are growing retrospective (but very limited prospective) data on this topic. 

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ACEP Now: Vol 38 – No 07 – July 2019

References

  1. Iobst CA, Tidwell MA, King WF. Nonoperative management of pediatric type I open fractures. J Pediatr Orthop. 2005;25(4):513-517.
  2. Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Joint Surg Am. 1976;58(4):453-458.
  3. Zhang H, Fanelli M, Adams C, et al. The emerging trend of non-operative treatment in paediatric type I open forearm fractures. J Child Orthop. 2017;11(4):306-309.
  4. Iobst CA, Spurdle C, Baitner AC, et al. A protocol for the management of pediatric type I open fractures. J Child Orthop. 2014;(8)1:71-76.
  5. Doak J, Ferrick M. Nonoperative management of pediatric grade 1 open fractures with less than a 24-hour admission. J Pediatr Orthop. 2009;29(1):49-51.
  6. Bazzi AA, Brooks JT, Jain A, et al. Is nonoperative treatment of pediatric type I open fractures safe and effective? J Child Orthop. 2014;8(6):467-471.
  7. Godfrey J, Choi PD, Shabtai L, et al. Management of pediatric type I open fractures in the emergency department or operating room: a multicenter perspective [published online ahead of print March 10, 2017]. J Pediatr Orthop.

Pages: 1 2 | Single Page

Topics: fractureopen fracturesPediatricsSurgery

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