Evidence map›Paper›PMID 37735419›Full record

ArticleBMC musculoskeletal disorders2023

Intramedullary Kirschner wire fixation of displaced distal forearm fractures in children.

Mohamed I Abulsoud, Ahmed Saied Mohammed, Mohammed Elmarghany, Ahmed Elgeushy, Ehab Elzahed, Mohamed Moawad, Ehab A Elshal, Mohamed F Elhalawany, Yahia A Hassanein, Amr A Fouad and 1 more

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Article in BMC musculoskeletal disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Mohamed I AbulsoudDepartment of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt. mohamedabulsoud@azhar.edu.eg.
Ahmed Saied MohammedDepartment of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mohammed ElmarghanyDepartment of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Ahmed ElgeushyDepartment of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Ehab ElzahedDepartment of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mohamed MoawadDepartment of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Ehab A ElshalDepartment of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mohamed F ElhalawanyDepartment of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Yahia A HassaneinDepartment of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Amr A FouadDepartment of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Ahmed R ZakariaDepartment of Orthopedic Surgery, Helwan University, Helwan, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aim of the workThis study was designed to highlight internal fixation by intramedullary K-wires for displaced distal forearm fractures among children and analyze the results of this technique. We hypothesize that physis-sparing intramedullary fixation prevents displacement with a lower complication rate.

methodsThis prospective case series involving 47 patients was conducted between February 2018 and December 2019. All patients with open physis presented with recent displaced distal forearm fractures were included, and all of them were treated with an intramedullary k-wire fixation for both bones with the assessment of the union rate, union time, suspected complication, radiographic evaluation, and functional outcome.

resultsThe study population consisted of 31 boys (66%) and 16 girls (34%). The mean age of the patients was 10.68 ± 2.728 years (range, 7-15 years). All fractures were united in a median of 6 weeks (range, 4-8 weeks), The functional outcome after 12 months was normal in 42 patients (89.4%), whereas, in five patients (10.6%), the functional parameters were minimally reduced. The median preoperative angulation improved from 36° (range, 24°-52°) preoperatively to 4° (range, 0°-10°) on immediate postoperative radiographs. After 12 months, the median angulation was 2° (range, 0°-7°) (p < 0.001). The angulation of the distal radius immediately after surgery and at the final follow-up was statistically correlated with the functional outcome (p < 0.001 and 0.002, respectively).

conclusionThis technique provides a good result with less susceptibility to re-displacement and low complication rates. LEVEL OF EVIDENCE: Level IV.

Indexed as

Fractures, BoneWrist FracturesAdolescentBone WiresChildFemaleFracture Fixation, InternalGrowth PlateHumansMaleDistal forearm fractureDistal radius fracturesIntramedullary fixationKirschner wirePediatric wrist fractures

Identifiers

PMID37735419
PMCPMC10512509

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.