Matches in SemOpenAlex for { <https://semopenalex.org/work/W4292608448> ?p ?o ?g. }
Showing items 1 to 88 of
88
with 100 items per page.
- W4292608448 endingPage "599" @default.
- W4292608448 startingPage "595" @default.
- W4292608448 abstract "Background: Angulated wrist and forearm fractures are among the most common pediatric fractures, and they often require closed reduction with anesthesia. There are several issues associated with pediatric anesthesia including the low but non-zero risk of significant complications, increased physician and staff time and effort, and increased cost. Despite these issues, there have not been any studies to prove that using anesthesia results in better outcomes or higher caregiver satisfaction in comparison to performing closed reductions without anesthesia. The purpose of this study was to evaluate the quality of closed reductions of angulated pediatric wrist and forearm fractures and to determine caregiver satisfaction with an anesthesia-free reduction technique. Methods: This study included 54 pediatric patients with closed, angulated fractures of the radius or combined radial and ulnar shafts. All closed reductions were performed by a single pediatric fellowship-trained orthopaedic surgeon in the office setting without any anesthesia. Radiographs were obtained to assess the quality of the reduction. At the first follow-up visit, caregivers were asked about their interim use of pain medications. Caregivers were later surveyed about patient use of analgesics and their satisfaction with an anesthesia-free reduction technique. Results: The average age of the 54 patients in this study was 9 years (1.8 to 16.8 y). Thirty-three fractures were combined radial and ulnar forearm shaft fractures, 18 were distal radius fractures, and 3 were radial shaft fractures. ≤10 degrees of residual angulation was achieved in 98% of patients. Nine percent (5/54) of the patients used ibuprofen or acetaminophen for pain control. Seventy eight percent (42/54) of the caregivers responded to the telephone and email surveys. All responding caregivers stated that the patients returned to full function and had satisfactory outcomes. Ninety eight percent (41/42) of the caregivers stated they would choose the same anesthesia-free reduction technique again. Conclusions: Closed reduction of angulated pediatric wrist and forearm fractures in the office without anesthesia can achieve satisfactory reductions and high caregiver satisfaction while eliminating the risks and complications associated with pediatric anesthesia. Level of Evidence: Level IV Case series." @default.
- W4292608448 created "2022-08-22" @default.
- W4292608448 creator A5000941902 @default.
- W4292608448 creator A5010191939 @default.
- W4292608448 creator A5010458358 @default.
- W4292608448 creator A5047489379 @default.
- W4292608448 creator A5081698696 @default.
- W4292608448 date "2022-08-22" @default.
- W4292608448 modified "2023-10-17" @default.
- W4292608448 title "“You’re O.K. Anesthesia”: Closed Reduction of Displaced Pediatric Forearm and Wrist Fractures in the Office Without Anesthesia" @default.
- W4292608448 cites W1986402521 @default.
- W4292608448 cites W1996593258 @default.
- W4292608448 cites W2019011258 @default.
- W4292608448 cites W2032176241 @default.
- W4292608448 cites W2058010301 @default.
- W4292608448 cites W2061988221 @default.
- W4292608448 cites W2083346725 @default.
- W4292608448 cites W2090917349 @default.
- W4292608448 cites W2093089036 @default.
- W4292608448 cites W2093254629 @default.
- W4292608448 cites W2113514363 @default.
- W4292608448 cites W2118280747 @default.
- W4292608448 cites W2135591819 @default.
- W4292608448 cites W2141874259 @default.
- W4292608448 cites W2169005738 @default.
- W4292608448 cites W2274626785 @default.
- W4292608448 cites W2316422970 @default.
- W4292608448 cites W2321832953 @default.
- W4292608448 cites W2794948816 @default.
- W4292608448 cites W2886754071 @default.
- W4292608448 doi "https://doi.org/10.1097/bpo.0000000000002246" @default.
- W4292608448 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/35993589" @default.
- W4292608448 hasPublicationYear "2022" @default.
- W4292608448 type Work @default.
- W4292608448 citedByCount "2" @default.
- W4292608448 countsByYear W42926084482022 @default.
- W4292608448 countsByYear W42926084482023 @default.
- W4292608448 crossrefType "journal-article" @default.
- W4292608448 hasAuthorship W4292608448A5000941902 @default.
- W4292608448 hasAuthorship W4292608448A5010191939 @default.
- W4292608448 hasAuthorship W4292608448A5010458358 @default.
- W4292608448 hasAuthorship W4292608448A5047489379 @default.
- W4292608448 hasAuthorship W4292608448A5081698696 @default.
- W4292608448 hasConcept C111335779 @default.
- W4292608448 hasConcept C141071460 @default.
- W4292608448 hasConcept C1862650 @default.
- W4292608448 hasConcept C2524010 @default.
- W4292608448 hasConcept C2778216619 @default.
- W4292608448 hasConcept C2780214079 @default.
- W4292608448 hasConcept C2908564507 @default.
- W4292608448 hasConcept C2909523310 @default.
- W4292608448 hasConcept C33923547 @default.
- W4292608448 hasConcept C42219234 @default.
- W4292608448 hasConcept C68312169 @default.
- W4292608448 hasConcept C71924100 @default.
- W4292608448 hasConceptScore W4292608448C111335779 @default.
- W4292608448 hasConceptScore W4292608448C141071460 @default.
- W4292608448 hasConceptScore W4292608448C1862650 @default.
- W4292608448 hasConceptScore W4292608448C2524010 @default.
- W4292608448 hasConceptScore W4292608448C2778216619 @default.
- W4292608448 hasConceptScore W4292608448C2780214079 @default.
- W4292608448 hasConceptScore W4292608448C2908564507 @default.
- W4292608448 hasConceptScore W4292608448C2909523310 @default.
- W4292608448 hasConceptScore W4292608448C33923547 @default.
- W4292608448 hasConceptScore W4292608448C42219234 @default.
- W4292608448 hasConceptScore W4292608448C68312169 @default.
- W4292608448 hasConceptScore W4292608448C71924100 @default.
- W4292608448 hasIssue "10" @default.
- W4292608448 hasLocation W42926084481 @default.
- W4292608448 hasLocation W42926084482 @default.
- W4292608448 hasOpenAccess W4292608448 @default.
- W4292608448 hasPrimaryLocation W42926084481 @default.
- W4292608448 hasRelatedWork W1505925080 @default.
- W4292608448 hasRelatedWork W2331829069 @default.
- W4292608448 hasRelatedWork W2373350318 @default.
- W4292608448 hasRelatedWork W2473792756 @default.
- W4292608448 hasRelatedWork W2553359519 @default.
- W4292608448 hasRelatedWork W2797816040 @default.
- W4292608448 hasRelatedWork W3032862751 @default.
- W4292608448 hasRelatedWork W3049192081 @default.
- W4292608448 hasRelatedWork W3086163928 @default.
- W4292608448 hasRelatedWork W4322728502 @default.
- W4292608448 hasVolume "42" @default.
- W4292608448 isParatext "false" @default.
- W4292608448 isRetracted "false" @default.
- W4292608448 workType "article" @default.