Surgically reducing displaced distal radial fractures in children

Author:

Metcalfe David12ORCID,Perry Daniel C.34ORCID

Affiliation:

1. Oxford Trauma and Emergency Care, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK

2. Emergency Research in Oxford, Oxford University Hospitals NHS Foundation Trust, Oxford, UK

3. Institute of Population Health, University of Liverpool, Liverpool, UK

4. Alder Hey Orthopaedics, Alder Hey Children’s NHS Foundation Trust, Liverpool, UK

Abstract

Displaced fractures of the distal radius in children are usually reduced under sedation or general anaesthesia to restore anatomical alignment before the limb is immobilized. However, there is growing evidence of the ability of the distal radius to remodel rapidly, raising doubts over the benefit to these children of restoring alignment. There is now clinical equipoise concerning whether or not young children with displaced distal radial fractures benefit from reduction, as they have the greatest ability to remodel. The Children’s Radius Acute Fracture Fixation Trial (CRAFFT), funded by the National Institute for Health and Care Research, aims to definitively answer this question and determine how best to manage severely displaced distal radial fractures in children aged up to ten years.Cite this article: Bone Joint J 2024;106-B(1):16–18.

Publisher

British Editorial Society of Bone & Joint Surgery

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