PURPOSE: There is limited literature on nonoperative treatment of open type I @entity4806 fractures. Our purpose was to evaluate the rate of @entity281 in @entity4806 @entity1 with @entity4422 treated nonoperatively at our institution without admission from the @entity341  ( @entity341 ). METHODS: We performed a retrospective chart review of all @entity1 who sustained a type I open @entity174 of the forearm or tibia from 2000 through 2013. Forty @entity1 fit the inclusion criteria: <18  years old with type I open @entity174 treated nonoperatively with irrigation and debridement, followed by closed reduction and casting of the @entity174 under conscious sedation in the @entity341 . All @entity1 were discharged home. The primary outcome was presence of @entity281 . Secondary outcomes included occurrence of a delayed union, time to union, complications, and residual angulation. RESULTS: There were no reported or documented infections. There was one case of a retained foreign body (<1  cm) in a mid-diaphyseal forearm @entity174 , which was removed in clinic at 4  weeks after the @entity1 developed a @entity738 with no infectious sequela. There was one case of a delayed union; all @entity1 eventually had complete bony union. There was minimal residual angulation in both upper and lower extremities at last follow-up. CONCLUSIONS: Nonoperative treatment of @entity4422 in @entity4806 @entity1 can be performed safely with little risk of @entity281 . This preliminary evidence may serve as a foundation for future prospective studies.

Is nonoperative treatment of XXXX @entity4422 safe and effective?

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity4422 :: ('MESH:D005597', 'Disease') :: ['type I open fractures'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fracture'] @entity738 :: ('MESH:D006099', 'Disease') :: ['granuloma'] @entity341 :: ('MESH:D004630', 'Disease') :: ['emergency department', 'ED'] @entity4806 :: ('MESH:D063766', 'Disease') :: ['pediatric'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection']
@entity4806 :: (MESH:D063766,Disease) :: ['pediatric']
