Redisplacement after manipulation of distal radial fractures in children

J Bone Joint Surg Br. 1993 May;75(3):453-4. doi: 10.1302/0301-620X.75B3.8496221.


We reviewed 68 fractures of the distal radius in children, all treated by primary manipulation and plaster immobilisation. Complete displacement of the fracture and failure to achieve a perfect reduction were both associated with a significant increase in the chance of redisplacement. We recommend the use of percutaneous Kirschner wires to maintain a satisfactory position in all cases in which a perfect reduction cannot be achieved.

MeSH terms

  • Adolescent
  • Age Factors
  • Bone Wires
  • Casts, Surgical
  • Child
  • Child, Preschool
  • Humans
  • Incidence
  • Infant
  • Manipulation, Orthopedic / methods
  • Manipulation, Orthopedic / standards*
  • Radiography
  • Radius Fractures / diagnostic imaging
  • Radius Fractures / epidemiology
  • Radius Fractures / therapy*
  • Recurrence
  • Retrospective Studies