Paediatric forearm fractures manipulated in the emergency department: incidence and risk factors for re-manipulation under general anaesthesia.

Aim: Re-manipulation of paediatric forearm fractures under general anaesthetic may be required following inadequate closed reduction under conscious sedation. Manipulation under general anaesthetic carries significant inherent risks and is preferably avoided. We assessed one institution's experience with paediatric forearm fracture reduction and investigate the incidence of re-manipulation under general anaesthetic of fractures initially managed under conscious sedation without fluoroscopy.

Outcome After Tibial Plateau Fracture: How Important Is Restoration of Articular Congruity?

Objectives: Does restoration of articular congruity have any effect on long-term outcome following tibial plateau fracture?

Design: Cohort study.

Setting: A secondary hospital in New Zealand, which services a population of 150,000.

Patients: All patients with a depressed tibial plateau fracture seen over a 6 year period were invited to participate in the study.