ArticleJournal of the Pediatric Orthopaedic Society of North America2025
Predictors and Complications of Delayed Femoral Shaft Fracture Fixation in Pediatric Patients.
Article 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. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
Background: There is currently no consensus regarding optimal treatment of femoral shaft fractures in the pediatric population, particularly regarding timing of surgical fixation. This large, retrospective database study seeks to identify predictors of delayed fixation of femoral shaft fractures in pediatric patients, and whether delayed fixation may be associated with certain complications. Methods: Data were drawn from the American College of Surgeons Trauma Quality Improvement Program (TQIP) database. Pediatric patients with femoral shaft fractures were stratified based on the timing of surgical fixation: <24 h or ≥24 h from ED presentation. The association of surgical timing with demographics, injury characteristics, and complications was assessed by univariate analysis and a multivariate regression model. Results: Patients with ISS scores >15 ( Conclusions: Our study demonstrates significant predictors of delayed fixation, in addition to showing a significant association with higher rates of complications. To our knowledge, this is the first study to use a large clinical database to assess predictors of femoral fracture timing and associated complications in the pediatric population. Key Concepts: (1)Optimal timing of surgical fixation of pediatric femoral shaft fractures has yet to be established.(2)This large, retrospective database study identifies significant predictors of delayed fixation: patients with ISS scores >15, worse GCS scores, older age, and higher number of days on a ventilator.(3)The median time to fixation was 33.85 h, and delayed fixation (≥24 h) was significantly associated with the development of various complications. Level of Evidence: III.
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.