AI Article Synopsis
- This study analyzed the outcomes of closed reduction treatment for pediatric forearm fractures in patients aged 4-16 years, focusing on the experience level of the treating residents.
- Out of 130 patients, 25% experienced initial treatment failure, with a notable higher rate (52%) among those treated by residents with no prior experience in forearm reduction.
- The findings suggest that residents with prior reduction experience significantly reduce the likelihood of treatment failure compared to those without any experience, indicating the importance of training in pediatric fracture management.
Article Abstract
Redisplacement and subsequent intervention are common for pediatric forearm fractures. We investigated associations between the success of closed reduction and the treating provider's experience. We identified patients aged 4-16 years with forearm fractures treated by closed reduction and cast immobilization. Clinical data and radiographs of 130 patients treated by 30 residents were reviewed to determine the treating resident's pediatric forearm fracture reduction experience and the incidence of initial treatment failure (ITF). ITF was defined as subsequent intervention before union or malunion. ITF occurred in 32 of 130 patients (25%), comprising 12 of 23 patients (52%) treated by residents with no previous experience and 20 of 107 patients (19%) treated by residents who had logged ≥ 1 previous reduction (odds ratio, 4.7). ITF was more likely to occur in pediatric forearm fractures treated by residents with no previous forearm reduction experience compared with those performed by residents who had such experience. Level of Evidence: Level III, therapeutic. (Journal of Surgical Orthopaedic Advances 32(1):032-035, 2023).
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