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initial fracture comminution
2%
28/1242
initial fracture displacement
16%
196/1242
use of 3.5 mm dynamic compression plate
65%
812/1242
plate removal before 12 months
5%
68/1242
immediate activity as tolerated following removal
11%
133/1242
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The Rumball et al article reviewed factors which influenced refracture after removal of the forearm plates. The factors that appeared to influence the refracture rate were degree of initial displacement and comminution, physical characteristics of the plate, early removal and lack of postremoval protection. Plates removed under 15 months showed an increased risk of refracture. There were no fractures in this series using the 3.5 DCP plate. Deluca et al concluded that, in retrospect, radiolucency at the site of the original fracture was seen in most patients (with refracture) when the plate was removed. Chapman et al found that all the refractures in their group had been intially treated with a 4.5 DCP plate, and that none of the patients with a 3.5 DCP had a refracture.
2.5
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