MARC details
| 000 -LEADER |
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| fixed length control field |
03903nam a22004697a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
141111s20142014 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
0890-5339 |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
24096309 |
| 245 ## - TITLE STATEMENT |
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| Title |
Complications associated with retained implants after plate fixation of the pediatric forearm. |
| 251 ## - Source |
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| Source |
Journal of Orthopaedic Trauma. 28(6):360-4, 2014 Jun. |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
J Orthop Trauma. 28(6):360-4, 2014 Jun. |
| 253 ## - Journal Name |
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| Journal name |
Journal of orthopaedic trauma |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2014-11-11 |
| 501 ## - WITH NOTE |
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| Local holdings |
Available online from MWHC library: 1996 - present |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
CONCLUSIONS: We concluded that retaining the plates in pediatric forearm fractures does not increase the refracture rate compared with the removal from the historical rates in the literature. Patients should be warned of possible symptoms and complications that may be present with retained plates. Also, a more aggressive physical therapy may be considered for females because they were observed to have more subjective weakness and dysfunction at long-term follow-up. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
DESIGN: Case series of pediatric patients after their forearm fracture was fixed using a plate, with the majority of patients retaining their implants. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
LEVEL OF EVIDENCE: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
METHODS: From 1999 to 2009, 58 patients between the ages of 6 and 15 years had fixation of their forearm fracture with plates. Thirty-three of these patients were available for a long-term follow-up with an average of 6.4 years. The patients were interviewed over the phone, and a physician filled out a questionnaire with regard to their clinical course. Records and x-ray data were reviewed for each patient. Factors such as implant complications, functional activity level, pain score, and clinical symptoms were studied. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
OBJECTIVE: Our present study examines the complications of pediatric patients treated with plate fixation for forearm fractures. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
RESULTS: Fractures occurred in 7.1% (2/28) of the patients who chose to retain their implants. Of the 28 patients who initially chose to leave the implants in place, 17.9% (5/28) had a partial or complete removal of the implants because of irritation. These patients reported the following symptoms: mild pain 42.3% (11/26), clicking 34.6% (9/26), ability to feel the plates 73.1% (19/26), and mild weakness 26.9% (7/26). The number of patients who reported return to the preinjury level of activity was 88.5% (23/26), and 96.2% (25/26) reported being satisfied with their clinical outcome when implants were retained. Females had a significantly greater subjective weakness of 60.0% (6/10) compared with that of males, which was 14.3% (3/21; P = 0.009) after a forearm fracture. The inability to return to the preinjury level of activity was significantly greater for females, which was 30.0% (3/10) versus 0.0% (0/21) for males (P = 0.008). |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
SETTING: Level 1 Trauma Center. |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Bone Plates/ae [Adverse Effects] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Forearm Injuries/su [Surgery] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Fracture Fixation, Internal/ae [Adverse Effects] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Radius Fractures/su [Surgery] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Ulna Fractures/su [Surgery] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Child |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Female |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Fracture Fixation, Internal/is [Instrumentation] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Humans |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Male |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Recovery of Function |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Sex Factors |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Washington Hospital Center |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Fitzgibbons, Peter G |
| 790 ## - Authors |
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| All authors |
Fitzgibbons PG, Got CJ, Kane PM, Katarincic JA, Vopat BG |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="http://dx.doi.org/10.1097/01.bot.0000435630.63770.3d">http://dx.doi.org/10.1097/01.bot.0000435630.63770.3d</a> |
| Public note |
http://dx.doi.org/10.1097/01.bot.0000435630.63770.3d |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Koha item type |
Journal Article |
| Item type description |
Journal article |
