A prospective study on the effectiveness of @entity2708 versus waterproof cast padding in maintaining the reduction of pediatric XXXX .

@entity2708 @entity1 @entity1582 @entity174
BACKGROUND: @entity174 , one of the most common @entity174 seen in the pediatric population, are regularly treated by closed reduction and casting. Our study investigates the effectiveness of Gore-Tex-lined casting in maintaining the reduction of 100% displaced @entity174 compared with traditional @entity2708 -lined casts. METHODS: We screened all @entity1 from February 2007 to July 2009 who presented to @entity1 's Hospital in Birmingham, @entity1582 with a @entity174 . Only @entity1 with 100% displaced @entity174 were eligible to be assigned to either the @entity2708 -lined or Gore-Tex-lined cast groups. Power analysis was performed to identify an adequate @entity1 sample size. The mean maximum change between initial post-reduction x-rays and follow-up x-rays for anterior-posterior (AP) angulation, AP displacement, lateral angulation, and lateral displacement of the radius were calculated for both @entity2708 and Gore-Tex groups. The rate of subsequent intervention and/or unacceptable results for each group was also analyzed. RESULTS: Seven hundred and twenty-two @entity1 were treated with @entity174 at our hospital with 59 @entity1 eligible for inclusion in our study. Thirty-six of our @entity1 were treated with @entity2708 -lined casts, and 23 @entity1 were treated with Gore-Tex-lined cast. The mean maximum change in AP angulation, AP displacement, lateral angulation, and lateral displacement of the radius after initial reduction was 9.2 degrees, 6.9%, 13.9 degrees, and 13.6%, respectively, for the @entity2708 -lined cast group and 7.7 degrees, 6.1%, 14.6 degrees, and 9.6%, respectively, for the Gore-Tex-lined cast group. There were no statistical differences between the means of the 4 measurements (P=0.33, 0.69, 0.73, and 0.10, respectively). There were also no significant differences between groups for final AP and lateral angulation and displacement. Subgroup analysis showed no significant differences in all measurements between @entity2708 and Gore-Tex groups. CONCLUSION: Gore-Tex and @entity2708 -lined casts are equally effective in their ability to maintain the reduction of 100% displaced @entity174 . Thus, Gore-Tex-lined casts can be offered to pediatric @entity1 immediately after closed reduction of @entity174 of any severity. LEVEL OF EVIDENCE: Therapeutic level II.
