ArticleArchives of orthopaedic and trauma surgery2025
Risk stratification for failure of conservative treatment in a cohort of 270 diametaphyseal radius fractures.
Article in Archives of orthopaedic and trauma surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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.
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.
Who cites it
4 citing papers in PubMed.
- Why it's better to believe in a larger definition of the diametaphyseal junction zone in pediatric distal radius fractures.Archives of orthopaedic and trauma surgery · 2026Article
- Unstable Distal Diametaphyseal Radius Fracture in Children a Retrospective Comparative Study of K-Wire Versus Plate Fixation.Children (Basel, Switzerland) · 2026Article
- Comparison of treatment modalities for distal radius fractures in terms of functional outcomes pain management and grip strength.Scientific reports · 2026Article
- Poor fracture alignment equals poor outcome? Analysis of conservatively managed distal radius fractures.Archives of orthopaedic and trauma surgery · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDiametaphyseal radius fractures (DMRF) in children pose a challenge to pediatric traumatologists. Numerous techniques to address the problems of conventional osteosynthesis have been published. Still, immobilization in a cast is the treatment of choice in most cases. The aim of this study was to assess risk factors for the failure of conservative treatment in DMRFs.
methodsThis is a single-center, retrospective study of 270 patients with conservatively treated DMRFs. Demographic data and radiologic fracture characteristics were assessed. Univariate and multivariate regression analyses were performed to identify risk factors for secondary dislocation, refracture, or secondary osteosynthesis. Significant variables were included in a risk prediction model.
resultsSecondary dislocation, refracture, and secondary osteosynthesis occurred in 10.0%, 5.6%, and 11.0%, respectively. Increasing angles of the fracture line, severe angulation, and greenstick fractures were identified to significantly predict either one of these complications. Surprisingly, proximal DMRFs with an increased forearm fracture index were less likely to dislocate secondarily.
conclusionsConservatively treated DMRFs with severe angulation, tilted fracture lines, and greenstick fractures are more likely to suffer complications. Hence, these fractures should be stabilized with osteosynthesis primarily. The introduced risk prediction tools should be validated prospectively.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.