Retrospective study of 1,001 children undergoing MUA for displaced distal forearm fractures, examining what cast index (CI) threshold — the ratio of sagittal to coronal inner cast width at the fracture site — best predicts and prevents redisplacement at 2-week follow-up.
After MUA for a pediatric distal forearm fracture, check your post-reduction films for a CI ≤0.8: above that threshold remanipulation risk jumps nearly 5-fold, and no other factor — not the surgeon's seniority, not initial displacement — predicts loss of reduction the way a poorly molded cast does.
Retrospective study of 1,001 children undergoing MUA for displaced distal forearm fractures, examining what cast index (CI) threshold — the ratio of sagittal to coronal inner cast width at the fracture site — best predicts and prevents redisplacement at 2-week follow-up.
After MUA for a pediatric distal forearm fracture, check your post-reduction films for a CI ≤0.8: above that threshold remanipulation risk jumps nearly 5-fold, and no other factor — not the surgeon's seniority, not initial displacement — predicts loss of reduction the way a poorly molded cast does.