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Journals / Adıyaman Üniversitesi Sağlık Bilimleri Dergisi / 2025 / Cilt: 11 Sayı: 3

Comparison of outcomes of closed reduction in pediatric both-bone forearm fractures performed by emergency physicians and orthopedic surgeons

Çocuklarda ön kol çift kırıklarının tedavisinde acil doktorları ve ortopedi uzmanlarının karşılaştırılması

Hüseyin Ülger(Department of Emergency Medicine, University of Health Sciences Adana City Training and Research Hospital)0000-0003-1611-7118
Ali Aydoğdu(HITIT UNIVERSITY, SCHOOL OF MEDICINE, DEPARTMENT OF SURGICAL MEDICAL SCIENCES, DEPARTMENT OF ORTHOPAEDICS AND TRAUMATOLOGY)0009-0008-4246-1602
Osman Ciloglu(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ADANA ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ORTOPEDİ VE TRAVMATOLOJİ ANABİLİM DALI)0000-0002-3660-3511
Ali Kemal Erenler(HİTİT ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, ACİL TIP ANABİLİM DALI)0000-0002-2101-8504
Pages
225–230
Publication Date
2025-12-31
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Emergency physicians can achieve high-quality reductions in pediatric both-bone forearm fractures with full functional recovery.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: The study aimed to compare the outcomes of closed reduction and splinting performed by emergency physicians and orthopedic surgeons in cases of both-bone forearm fractures.
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Key Findings & Data:Results: A total of 91 patients were included, with a mean age of 9.97 ± 3.58 years, of whom 72.5% were male.
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Conclusion & Impact:Emergency physicians can achieve high-quality reductions in pediatric both-bone forearm fractures with full functional recovery.
🔬Design:Araştırma Makalesi
📍Scope:Comprehensive Sample
⚙️Variables:Ön kol çift kırığı · Çocuk · Kapalı redüksiyon

Abstract

Aim: The study aimed to compare the outcomes of closed reduction and splinting performed by emergency physicians and orthopedic surgeons in cases of both-bone forearm fractures. Materials and Methods: This retrospective study included pediatric patients with both-bone forearm fractures. Surgical intervention, hospitalization, and discharge outcomes following closed reduction performed by emergency and orthopedic physicians were evaluated. Results: A total of 91 patients were included, with a mean age of 9.97 ± 3.58 years, of whom 72.5% were male. Statistically significant differences were observed in surgical intervention rates (p=0.006) and hospitalization rates (p=0.001) between emergency physicians and orthopedic surgeons, while discharge outcomes showed no significant difference (p=0.590). Conclusion: The comparable discharge rates between emergency physicians and orthopedic surgeons emphasize the value of emergency physicians' role in closed reduction. Emergency physicians can achieve high-quality reductions in pediatric both-bone forearm fractures with full functional recovery.

Özet

Amaç: Ön kol çift kırıklarında kapalı redüksiyon ile atele alınan olguların acil tıp uzmanları ile ortopedi doktorlarının sonuçlarının karşılaştırılması hedeflenmiştir. Gereç ve Yöntem Bu retrospektif çalışmaya, ön kolun çift kırığı ile başvuran pediatrik hastalar dahil edilmiştir. Acil servis ve ortopedi uzmanları tarafından uygulanan kapalı redüksiyon girişimleri analiz edilerek, tedavi etkinliği ve sonuçları değerlendirilmiştir. Bulgular: Çalışmaya 91 hasta dahil edildi. Yaş ortalaması 9,97±3,58 yıl ve %72,5’i erkek idi. ön kol çift kırığına kapalı redüksiyon sonrası opere edilme oranları (p=0,006) ile yatış durumları (p=0,001) istatistiksel olarak anlamlı fark gösterirken taburculukları bakımından fark yoktu (p=0,590). Sonuç: Acil doktorlarının kapalı redüksiyondaki başarısı ile taburculuk bakımından ortopedistler arasında fark bulunmamıştır. Acil servislerde acil tıp uzmanları tarafından çocuk ön kol çift kırıklarının tam fonksiyonel iyileşme ile yüksek kalitede redüksiyonu sağlanabilmektedir.

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Cite This Article

Ülger, H., Aydoğdu, A., Ciloglu, O., Erenler, A. K. (2025). Comparison of outcomes of closed reduction in pediatric both-bone forearm fractures performed by emergency physicians and orthopedic surgeons. Adıyaman Üniversitesi Sağlık Bilimleri Dergisi, Cilt: 11 Sayı: 3, 225–230. https://doi.org/10.30569/adiyamansaglik.1719877

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