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. 2019 Sep;43(9):2093-2097.
doi: 10.1007/s00264-018-4184-4. Epub 2018 Oct 2.

Risk factors for refracture of the forearm in children treated with elastic stable intramedullary nailing

Bingqiang Han  1 , Zhigang Wang  1 , Yuchan Li  1 , Yunlan Xu  1 , Haiqing Cai  2
Affiliations

Risk factors for refracture of the forearm in children treated with elastic stable intramedullary nailing

Bingqiang Han et al. Int Orthop. 2019 Sep.

Abstract

Purpose: This study aims to investigate risk factors for refracture of the forearm in children treated with elastic stable intramedullary nailing (ESIN).

Methods: Clinical data of 267 patients who had been treated for forearm fractures by ESIN in our hospital from January 2010 to December 2014 were retrospectively reviewed. Risk factors for forearm refractures were determined using logistic regression analysis.

Results: Forearm refractures occurred in 11 children. Univariate analysis revealed that age, body weight, number of fractures, open fracture, nail diameter, and immobilization time were not associated with refractures. However, gender (male, P = 0.042) and fracture location (lower third, P = 0.007) were significantly associated with refractures. Multivariate analysis revealed that fracture location was an independent risk factor for forearm refractures (P = 0.031).

Conclusion: Forearm refracture is uncommon in children treated with ESIN. Fracture location is an independent risk factor for forearm refractures in these patients.

Keywords: Children; Elastic stable intramedullary nailing; Forearm; Refracture.

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