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

  • Bingqiang Han
  • Zhigang Wang
  • Yuchan Li
  • Yunlan Xu
  • Haiqing CaiEmail author
Original Paper
  • 85 Downloads

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

Forearm Refracture Elastic stable intramedullary nailing Children 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© SICOT aisbl 2018

Authors and Affiliations

  • Bingqiang Han
    • 1
  • Zhigang Wang
    • 1
  • Yuchan Li
    • 1
  • Yunlan Xu
    • 1
  • Haiqing Cai
    • 1
    Email author
  1. 1.Department of Pediatric Orthopedics, Shanghai Children’s Medical CenterShanghai Jiaotong University School of MedicineShanghaiPeople’s Republic of China

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