Conservative treatment of distal radial fractures: can we predict and reduce redisplacements?

Abstract

I have read the article “Selective Kirschner wiring for displaced distal radial fractures in children” by Luscombe et al.[1] with interest. This article views the results of authors’ clinical experience about displaced distal radial fractures. However, there are some missing points in the paper. In this study some factors were sought as a cause of redisplacement, but casting technique was completely ignored. Our two studies showed that casting technique, particularly moulding and adequate threepoint fixation, plays the major role to have a stable distal radial fracture in a cast.[2,3] I strongly recommend sound understanding and routine usage of our novel method “three-point index” in predicting an impending redisplacement. 

Keywords

• Conservative
• treatment
• fractures