Evidence map›Paper›PMID 40433283›Full record

ArticleJournal of the Pediatric Orthopaedic Society of North America2024

Fracture nonunion and delayed union.

David S Liu, Brian D Snyder, Susan T Mahan

Erratum issuedAbstract read
In one paragraph

Article in Journal of the Pediatric Orthopaedic Society of North America, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Gunshot Wounds and Orthopaedic Injury at a Pediatric Level I Trauma Center.Journal of the Pediatric Orthopaedic Society of North America · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

David S LiuHarvard Combined Orthopaedic Residency Program, Boston, MA, USA.
Brian D SnyderDepartment of Orthopaedics, Boston Children's Hospital, Boston, MA, USA.
Susan T MahanDepartment of Orthopaedic Surgery, Boston Children's Hospital, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Delayed union and nonunion of fractures exist in the pediatric population. Fracture healing requires the synergistic collaboration of mechanical support and robust biological processes to allow endochondral ossification, reestablishment of bone continuity, and subsequent remodeling to strong lamellar bone. Failure of either mechanical stability or biology may manifest as delayed fracture healing. While early recognition of potential metabolic and pharmacologic risk factors may be addressed by pre-emptive treatment using nutritional and vitamin D supplements, definitive treatment of established nonunion requires a comprehensive approach. Key Concepts: (1)Delayed unions and nonunions are more common in adult bone but can also occur in pediatric bone.(2)Fracture healing requires synergistic collaboration of mechanical support and robust biological processes; treatment of nonunions should address both the biological and mechanical factors.(3)Vitamin D is an integral component of calcium absorption and bone health.

Indexed as

Bone healthFracture nonunionPediatric fractureVitamin D

Identifiers

PMID40433283
PMCPMC12088218

What OpenQuestion holds

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Registered trials

None linked

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.