ArticleJournal of the Pediatric Orthopaedic Society of North America2025
Surgical and Nonsurgical Treatment of Pediatric Monteggia Fractures: A Systematic Review.
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. Cited by 1 paper.
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
1 citing paper in PubMed.
- Conservative Treatment of Pediatric Fractures-Narrative Review of Acceptable Deformity and Remodeling Potential.Medical sciences (Basel, Switzerland) · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: There remains controversy surrounding the treatment of pediatric Monteggia fractures. This systematic review examines the existing literature with the aim to elucidate optimal management strategies. Methods: A systematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was conducted. All data collection was completed by May 27, 2024. Results: Thirteen studies were included, with three evaluating only surgical techniques, two evaluating only conservative techniques, and eight evaluating surgical versus conservative treatment. The mean Quality Appraisal Tool rating of all the studies was 63.4%, with five level III and eight level IV studies. There were 696 cases, with an average age of 6.6 years (range: 11 months-18 years), with 375 Bado Type 1, 31 Bado Type 2, 193 Bado Type 3, and 32 Bado Type 4 fractures. Overall outcomes were generally good for both conservatively and surgically treated fractures. The most frequently reported indication for surgery was failure of conservative treatment. There was a 6.0% complication rate and a 14.6% complication rate for conservative and surgical treatment, respectively. Conclusions: Although there is still no consensus on the treatment of pediatric Monteggia fractures, both operative and nonoperative approaches result in good outcomes with expeditious treatment. Key Concepts: (1)Standardized treatment of pediatric Monteggia fractures remains elusive.(2)Whereas surgeons agree that early diagnosis and expeditious treatment are essential, it remains unclear whether an initial trial of conservative treatment or immediate surgical intervention is indicated.(3)More stable fracture patterns tend to do well with a conservative approach, and there tend to be more complications with surgery.(4)More research is necessary to determine if there is a true difference in healing outcomes between the two treatment options. Level of Evidence: Level IV-therapeutic.
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.