Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Forearm
Abstract number: 26212
REMANIPULATION OF PAEDIATRIC FOREARM FRACTURES
Prakash JAYAKUMAR 1 , Saket TIBREWAL 2 , Nirav SHAH 1 , John WHITE 2 , Krishna
VEMULAPALLI 2
1 Queens Hospital Romford, Romford (UNITED KINGDOM), 2 Queen's Hospital
Romford, Kent (UNITED KINGDOM)
Our aims were to identify the re-manipulation rate in the common setup of a district
general hospital (DGH). We also examined the influence of the experience of the
operating surgeon and the timing of procedure upon the re-manipulation rate of these
fractures.We undertook a retrospective study of all clinical notes of children admitted
to Oldchurch (now Queens) district general hospital with a forearm fracture treated by
closed reduction over a five-year period.We were unable to show an association
between the age of the child and chance of re-displacement, nor between redisplacement
and sex or type of injury. In our study there was no significant
difference between the experience of the surgeon at the index procedure and a remanipulation
being required. We also found that there was no significant difference
with regards to the time of day the index manipulation was performed and a
subsequent re-manipulation being required.Our study reveals the overall remanipulation
rate at a district general hospital is comparable to the national and
international published results at specialized paediatric centres. Our results also
show that above-elbow casts are not better at preventing re-displacement. We can
conclude that in the district hospital setting the seniority of surgeon and time of day of
index surgery do not have an affect on the outcome with regards to the need for remanipulation
of forearm fractures in children.
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