Evaluation Of Cast Index In Predicting The Outcome Of Pediatric Forearm Fractures

Orthopaedic Journal of M P Chapter

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Title Evaluation Of Cast Index In Predicting The Outcome Of Pediatric Forearm Fractures
Creator Ajmera A
Jain S
Jain M
Subject Forearm fracture
Cast index
Description Background: Pediatric forearm fractures of radius ulna account for 40% of all pediatric fracture. Closed reduction followed by application of well molded plaster cast is the standard treatment for these fractures, which can be complicated by re-displacement inside the cast, which further needs re-manipulation or surgery. We assessed the rate if re-displacement in paediatric forearm fractures treated by cast by calculating the cast index.
Material & Methods: 30 patients with fractures of both radius ulna were treated with close reduction and cast application and Cast Index was calculated in immediate post reduction and subsequent radiographs at 2, 4 and 6 weeks. These were evaluated for re-displacement and their relation with cast index.
Results: The mean CI was found to be 0.858. Three patients had re-displacement which required re-manipulation, the mean CI in these re-displacement group was 0.92. Mean CI was found to be higher in proximal third fractures however it did not correspond to increased incidence of re-displacement.
Conclusion: Our study provides sufficient association of cast index in predicting the outcome of pediatric forearm fractures. Higher CI in proximal third fracture didn’t correspond to increased incidence of re-displacement.
Publisher M P Chpater of Indian Orthopaedic Association
Date 2020-03-31
Type info:eu-repo/semantics/article
Format application/pdf
Identifier https://ojmpc.com/index.php/ojmpc/article/view/101
Source Orthopaedic Journal of M. P. Chapter; Vol 26 No 1 (2020): JAN-JUN; 30-33
Language eng
Relation https://ojmpc.com/index.php/ojmpc/article/view/101/143
Rights https://creativecommons.org/licenses/by-nc/4.0

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