ArticleChildren (Basel, Switzerland)2022
Is Obesity a Risk Factor for Loss of Reduction in Children with Distal Radius Fractures Treated Conservatively?
Article in Children (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 14 citations in OpenAlex.
- [Closed reduction guided with ultrasound for distal radius metaphysis fracture in children].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026Article
- Plating of a Single Bone Is Promising for the Treatment of Both-Bone Forearm Fractures in Children.Life (Basel, Switzerland) · 2026Article
- Obesity Is Independently Associated with Early Loss of Reduction After Casting in Pediatric Both-Bone Forearm Fractures: A Cohort Study of Children Aged 3-13 Years.Medicina (Kaunas, Lithuania) · 2026Article
- Loss of Reduction in Pediatric Distal Radius Fractures: Risk Factors From a Prospective Multicenter Registry.Journal of the Pediatric Orthopaedic Society of North America · 2025Article
- Assessment of the Mechanical Properties and Fragment Characteristics of a 3D-Printed Forearm Orthosis.Polymers · 2024Article
- Modified Kapandji technique in pediatric displaced distal radius fractures: results in 195 patients.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Observational
- The Slipper Fracture: Revisited.Cureus · 2023Article
- Diametaphyseal Distal Forearm Fractures in Children: A STROBE Compliant Comparison of Outcomes of Different Stabilization Techniques Regarding Complications.Children (Basel, Switzerland) · 2023Article
- Analysis of Physeal Fractures from the United States National Trauma Data Bank.Children (Basel, Switzerland) · 2022Article
- Vitamin D and Forearm Fractures in Children Preliminary Findings: Risk Factors and Correlation between Low-Energy and High-Energy Fractures.Children (Basel, Switzerland) · 2022Article
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Obesity in children is a clinical and social burden. The distal radius (DR) is the most common site of fractures in childhood and conservative treatment is widely used. Loss of reduction (LOR) is the major casting complication. The aim of this study is to evaluate obesity as a risk factor for LOR in children with displaced DR fractures (DRF) treated conservatively. Methods: 189 children under 16 years of age were treated conservatively for DRF. Patients were divided into three groups: normal weight (NW), overweight (OW) and obese (OB). The following radiographic criteria were evaluated in all patients: amount of initial translation (IT); quality of initial reduction; Cast (CI), Padding (PI), Canterbury (CaI), Gap (GI) and Three-Points (3PI) indices and the presence of LOR. Results: Statistically significant differences were found between the NW and the OB group for number of LOR (p = 0.002), severity (grade) of initial translation (p = 0.008), quality of initial reduction (p = 0.01) as well as CsI and CaI (p < 0.001). Conclusions: Obese children have a significantly higher rate of LOR compared to NW and OW children. A close follow-up is necessary in this population of patients. Preventive percutaneous pinning could be considered in older obese patients in order to reduce the need for further treatment.
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