Factors determining outcome of corrective osteotomy for malunited paediatric forearm fractures: a systematic review and meta-analysis

The aim of this study was to identify predictors of a superior functional outcome after corrective osteotomy for paediatric malunited radius and both-bone forearm fractures. We performed a systematic review and meta-analysis of individual participant data, searching databases up to 1 October 2016. O...

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Published in:Journal of Hand Surgery (European Volume) 2017-10, Vol.42 (8), p.810-816
Main Authors: Roth, K. C., Walenkamp, M. M. J., van Geenen, R. C. I., Reijman, M., Verhaar, J. A. N., Colaris, J. W.
Format: Article
Language:English
Subjects:
Adolescent
Child
Child, Preschool
Female
Fractures, Malunited - surgery
Humans
Male
Osteotomy
Radius Fractures - surgery
Review
Treatment Outcome
Ulna Fractures - surgery
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cited_by cdi_FETCH-LOGICAL-c434t-e7fae18d558b21bef5771484f91c7da74938bfe3ecf5282dbd6873d1b28cba163
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container_end_page 816
container_issue 8
container_start_page 810
container_title Journal of Hand Surgery (European Volume)
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creator Roth, K. C.
Walenkamp, M. M. J.
van Geenen, R. C. I.
Reijman, M.
Verhaar, J. A. N.
Colaris, J. W.
description The aim of this study was to identify predictors of a superior functional outcome after corrective osteotomy for paediatric malunited radius and both-bone forearm fractures. We performed a systematic review and meta-analysis of individual participant data, searching databases up to 1 October 2016. Our primary outcome was the gain in pronosupination seen after corrective osteotomy. Individual participant data of 11 cohort studies were included, concerning 71 participants with a median age of 11 years at trauma. Corrective osteotomy was performed after a median of 12 months after trauma, leading to a mean gain of 77° in pronosupination after a median follow-up of 29 months. Analysis of variance and multiple regression analysis revealed that predictors of superior functional outcome after corrective osteotomy are: an interval between trauma and corrective osteotomy of less than 1 year, an angular deformity of greater than 20° and the use of three-dimensional computer-assisted techniques. Level of evidence: II
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subjects Adolescent
Child
Child, Preschool
Female
Fractures, Malunited - surgery
Humans
Male
Osteotomy
Radius Fractures - surgery
Review
Treatment Outcome
Ulna Fractures - surgery
title Factors determining outcome of corrective osteotomy for malunited paediatric forearm fractures: a systematic review and meta-analysis
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