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Another attempt at closed reduction in the operating room
33%
246/747
Open reduction with plating of the radius only
1%
10/747
Open reduction with plating of the ulna only
0%
3/747
Open reduction with plating of both the radius and ulna
12%
92/747
Close monitoring with follow-up radiographs in 1 week
52%
385/747
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In children younger than 8 years of age, acceptable reduction parameters for fractures of the forearm are less than 20 degrees of angulation, 100% translation, and less than 45 degrees of malrotation. Weekly monitoring for loss of reduction and unstable fractures requiring further intervention is needed. When acceptable alignment can be maintained, good outcomes can be expected in this age group. In patients older than 10 years, angulation of less than 10 degrees, full translation, and malrotation of 30 degrees can be accepted. When surgical treatment is indicated, plating of one or both bones is acceptable. However, in this patient, the reduction is acceptable so a repeat closed reduction attempt and surgical treatment are not needed.
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