ReviewJournal of the Pediatric Orthopaedic Society of North America2025
Surgical and Conservative Management are Both Effective for Pediatric Both Bone Forearm Fractures: A Systematic Review and Meta-Analysis.
Review in Journal of the Pediatric Orthopaedic Society of North America, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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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.
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Who cites it
1 citing paper in PubMed.
- 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
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Treatment of both bone forearm fractures (BBFFs) in skeletally immature patients includes both operative and nonoperative strategies. However, there is no literature-supported consensus as to which intervention provides optimal patient outcomes. This systematic review and meta-analysis compares the outcomes of surgical and conservative treatment in the management of BBFFs in skeletally immature patients. A systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was performed across Medline, Scopus, PubMed, and CENTRAL from inception to August 2024. Studies reporting clinical outcomes of skeletally immature patients with BBFFs treated with either: 1) surgical, including intramedullary nailing and plating, or 2) nonoperative methods, i.e. casting, were included. Statistical analyses were conducted using RStudio (Posit, Boston, MA, USA). The initial search yielded 1884 studies, of which a total of 24 studies with 1,157 patients (surgical: 807, mean age: 11.40 years; conservative: 350, mean age: 8.59 years) met the inclusion criteria. Functional outcomes showed excellent results in both groups ( Key Concepts: (1)Both conservative and surgical treatment of pediatric both bone forearm fractures result in excellent functional outcomes and 100% union rates, which supports the effectiveness of both approaches in skeletally immature patients.(2)Surgical management is associated with significantly lower rates of redisplacement (3% vs 26%) as well as lower need for additional interventions (5% vs 14%) compared to conservative treatment, highlighting its benefit in maintaining fracture stability.(3)Although the time to union was longer with surgical treatment (8.26 vs 6.50 weeks), this did not negatively impact final functional outcomes.(4)Age-related remodeling potential remains a key determinant in treatment selection, with conservative treatment more suitable for younger children and surgical treatment preferable in older children with diminished remodeling capacity. Level of Evidence: III.
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