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Displaced fractures of the distal radius in children are usually reduced under sedation or general anaesthesia to restore anatomical alignment before the limb is immobilized. However, there is growing evidence of the ability of the distal radius to remodel rapidly, raising doubts over the benefit to these children of restoring alignment. There is now clinical equipoise concerning whether or not young children with displaced distal radial fractures benefit from reduction, as they have the greatest ability to remodel. The Children's Radius Acute Fracture Fixation Trial (CRAFFT), funded by the National Institute for Health and Care Research, aims to definitively answer this question and determine how best to manage severely displaced distal radial fractures in children aged up to ten years.

Original publication

DOI

10.1302/0301-620X.106B1.BJJ-2023-1112

Type

Journal article

Journal

Bone joint j

Publication Date

01/01/2024

Volume

106-B

Pages

16 - 18

Keywords

Child, Humans, Fracture Fixation, Radius Fractures, Radius, Anesthesia, General, Upper Extremity, Fracture Fixation, Internal, Treatment Outcome