scholarly journals Salter-Harris II forearm fracture reduction and fixation using a buttress plate

2014 ◽  
Vol 2014 (jan30 2) ◽  
pp. bcr2013202868-bcr2013202868
Author(s):  
J. Barnes ◽  
M. Webb ◽  
P. v. Fearon
Keyword(s):  
Forearm Fracture ◽  
Fracture Reduction ◽  
Fracture Reduction And Fixation ◽  
Salter Harris ◽  
Buttress Plate

Orthopaedic surgery

2021 ◽  
pp. 597-698
Keyword(s):  
Fracture Healing ◽  
Bone Healing ◽  
Orthopaedic Surgery ◽  
Fracture Reduction ◽  
Fracture Reduction And Fixation ◽  
Reduction Techniques ◽  
Careful Handling ◽  
Tunnel Syndrome ◽  
Primary Bone ◽  
Secondary Bone Healing

This chapter examines orthopaedic surgery. It begins by detailing the examination of a joint and of the limbs and trunk. The chapter then discusses fracture healing and the reduction and fixation of fractures. Fracture healing occurs as either primary or secondary bone union. Primary bone healing does not produce callus, while secondary bone healing does. Modern fracture reduction and treatment centres around four key principles: fracture reduction and fixation to restore anatomical relationships; stability by fixation or splintage as the personality of the fracture and the injury dictates; preservation of the blood supply to the soft tissue and bone by careful handling and gentle reduction techniques; and early and safe mobilization of the part and patient. Finally, the chapter looks at the skeletal radiograph and considers injuries of the phalanges and metacarpals; wrist injuries; dislocations and fractures of the elbow, shoulders, ribs, pelvis, and neck; spinal injuries; bone tumours; osteoarthrosis (osteoarthritis); Paget’s disease (osteitis deformans); and carpal tunnel syndrome.

The Use of Conscious Sedation for Pain Control During Forearm Fracture Reduction In Children

2006 ◽  
Vol 26 (1) ◽  
pp. 53-57 ◽  
Author(s):  
Brian L VanderBeek ◽  
Charles T Mehlman ◽  
Susan L Foad ◽  
Eric J Wall ◽  
Alvin H Crawford
Keyword(s):  
Pain Control ◽  
Conscious Sedation ◽  
Forearm Fracture ◽  
Fracture Reduction

scholarly journals LO065: Reduced length of stay and adverse events using Bier block for forearm fracture reduction in the pediatric emergency department

CJEM ◽  
2016 ◽  
Vol 18 (S1) ◽  
pp. S52-S53
Author(s):  
E. Fauteux-Lamarre ◽  
B. Burstein ◽  
A. Cheng ◽  
A. Bretholz
Keyword(s):  
Emergency Department ◽  
Length Of Stay ◽  
Adverse Events ◽  
Forearm Fracture ◽  
Pediatric Emergency ◽  
Fracture Reduction ◽  
Pediatric Emergency Department ◽  
Forearm Fractures ◽  
Return Visits ◽  
Bier Block

Introduction: Distal forearm fractures are one of the most common injuries presenting to the pediatric emergency department. Procedural sedation (PS) is commonly used to provide analgesia during fracture reduction, but requires a prolonged recovery period and can be associated with adverse respiratory events. Bier block (BB) regional anesthesia is a safe alternative to PS for fracture reduction analgesia. We sought to assess the impact of BB on length of stay (LOS) and adverse events following forearm fracture reduction compared to PS. Methods: We performed a retrospective study of patients aged 6 to 18 years, presenting with forearm fractures requiring closed reduction from June 2012 to March 2014. The primary outcome measure was emergency department LOS; secondary outcomes included reduction success rates, adverse events and unscheduled return visits. Results: Two-hundred and seventy-four patients were included for analysis; 109 treated with BB, 165 underwent PS. Overall, mean LOS was 82 min shorter for patients treated in the BB group (279 min vs. 361 min, p<0.05). Sub-analysis revealed a reduced LOS among patients treated with BB for fractures involving a single bone (286 min vs. 388 min, p<0.001) and both-bones of the forearm (259 min vs. 321 min, p<0.05). Both BB and PS resulted in comparable rates of successful reduction (98.2% vs. 97.6%, p=0.74). There were no major adverse events in either group. Patients who received BB experienced significantly fewer minor adverse events (2.7% vs. 14.5%, p<0.05). Return visit rates were similar in the BB and PS groups (17.6% vs. 17.1%, p<0.05). Conclusion: Compared to PS, forearm fracture reduction performed with BB was associated with a reduced emergency department LOS and fewer adverse events, with no difference in reduction success or return visits.

Anatomic Investigation of Commonly Used Landmarks for Evaluating Rotation During Forearm Fracture Reduction

2016 ◽  
Vol 98 (13) ◽  
pp. 1103-1112 ◽  
Author(s):  
Douglas S. Weinberg ◽  
Paul J. Park ◽  
Kaeleen A. Boden ◽  
Kevin J. Malone ◽  
Daniel R. Cooperman ◽  
...  
Keyword(s):  
Forearm Fracture ◽  
Fracture Reduction

scholarly journals Metatarsal Fracture Reduction and Fixation by Kirschner Wires: Technical Tip

2012 ◽  
Vol 03 (06) ◽  
pp. 344-346 ◽  
Author(s):  
Eli Peled ◽  
Doron Norman ◽  
Eyal Melamed
Keyword(s):  
Fracture Reduction ◽  
Kirschner Wires ◽  
Fracture Reduction And Fixation ◽  
Metatarsal Fracture

scholarly journals LO055: Increased utilization of Bier block for pediatric forearm fracture reduction following simulation and web-based training

CJEM ◽  
2016 ◽  
Vol 18 (S1) ◽  
pp. S49-S49
Author(s):  
B. Burstein ◽  
E. Fauteux-Lamarre ◽  
A. Cheng ◽  
D. Chalut ◽  
A. Bretholz
Keyword(s):  
Forearm Fracture ◽  
Course Completion ◽  
Pediatric Emergency ◽  
Fracture Reduction ◽  
Web Based ◽  
Training Course ◽  
Clinical Utilization ◽  
Combined Simulation ◽  
Willingness To Use ◽  
Bier Block

Introduction: Bier block (BB) regional intravenous anesthesia is a safe and effective alternative to procedural sedation for analgesia during forearm fracture reductions, yet BB remains infrequently utilized in the Pediatric Emergency Department (PED). No standardized methods of BB training have previously been described. The objectives of this study were to evaluate comfort and level of experience with BB in the PED, and to determine if a multimodal instructional course increases these from baseline and translates to increased utilization of this technique. Methods: A novel interdisciplinary simulation and web-based training course was developed to teach the use of BB for forearm fracture reduction at a tertiary PED. Participants were surveyed pre/post training, and at 2- and 6-months regarding their comfort with and willingness to use BB. In parallel, we prospectively assessed the clinical utilization of BB in the PED during the 24-month period immediately following course completion. Results: Course participation included 38 members of the PED (N = 26 physicians, 12 nurses), and survey response rate was 100% at all time points. Respondents reported that course participation increased both their comfort (10% pre vs. 89% post-training, p<0.001) and willingness (51% pre vs. 95% post-training, p<0.001) to use BB for forearm fracture reduction, an effect that was sustained at 6-months following course completion (66% and 92%, respectively, p<0.001 for both). Before course attendance, only 6% of respondents indicated that they had ever used BB in a PED setting, and all participants indicated that the course addressed their learning objectives. In clinical practice, there were no BB performed prior to course administration. We observed a consistent and sustained increase in the clinical utilization of BB, with 39% of all PED forearm reductions performed using BB at 24-months post-course completion (114 BB, 17 unique physicians). Conclusion: A combined simulation and web-based training course increased comfort and willingness to use BB and was associated with increased utilization of this technique for forearm fracture reduction in the PED.

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