The influence of shape anisotropy on switching fields is also discussed in terms of demagnetization energy. (C) 2010 American Institute of Physics. [doi: 10.1063/1.3358233]“
“Background: Management of pediatric radial neck fractures is controversial regarding acceptable GSK3326595 manufacturer alignment, variable reduction techniques, and suboptimal outcomes. The purpose of this study was to assess the characteristics, management, and results in a surgical cohort, in efforts to identify
prognostic factors and offer treatment suggestions. It was hypothesized that less invasive reduction maneuvers would precede open reduction and that worse results would correlate with fracture severity, open reduction, and the presence of associated injuries.
Methods: Retrospective Selleck NCT-501 analysis of 151 children in whom a radial neck fracture had been surgically treated from 2001 to 2011 was performed. The mean age (and standard deviation) and duration of follow-up
were 8.4 +/- 2.9 years and 13.3 +/- 20.0 months, respectively; 40% of the patients were male. A successful clinical result was defined as elbow flexion of >= 120 degrees, flexion contracture of <20 degrees, forearm rotation of >= 90 degrees with >= 45 degrees of supination and pronation, and no complications.
Results: An isolated radial neck fracture occurred in 54% of the children. The mean angulation and displacement improved from 43 degrees +/- 19 degrees and 37% +/- 35%, respectively, before treatment to 13 degrees +/- 7 degrees and 0.9%
+/- 4% after treatment (p < 0.001). Twenty-two procedural combinations were used to treat these patients, and 67% of the open reductions were not preceded by percutaneous or closed reduction attempts. Among 131 patients with adequate follow-up, 31% had an unsuccessful outcome. An age of ten years or more (odds ratio [OR] = 5.85, p = 0.001), a time to surgery of two days or less (OR = 4.73, p = 0.02), and greater fracture displacement (OR = 1.25 per 10%, p = 0.001) Selleckchem DZNeP were independent predictors of unsuccessful outcomes. Increased fracture severity and open reduction were associated with poor results, although the presence of concomitant injuries was not. It is predicted that closed manipulation will fail for half of fractures angulated >= 36 degrees, and that half of fractures displaced >= 65% will require open reduction. The predicted frequency of unsuccessful outcomes is 50% with 76% displacement.
Conclusions: There continues to be great variation in the approach to treatment of displaced radial neck fractures in children.