Evidence map›Paper›PMID 41561506›Full record

ArticleFrontiers in pediatrics2025

Anatomical site variations in healing of pediatric femoral shaft fractures: ultrasound evaluation of conservative treatment.

Xiang Li, Junxia Song, Yuan Zhang, Jun Wu, Xing Liu

Abstract read
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Article in Frontiers in pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Xiang Li *National Clinical Research Center for Children and Adolescents' Health and Diseases, Ministry of Education Key Laboratory of Child Development and Disorders, Department of Orthopedic, Children's Hospital of Chongqing Medical University, Chongqing, China.
Junxia Song *Department of Pediatrics, Chongqing Health Center for Women and Children, Women and Children's Hospital of Chongqing Medical University, Chongqing, China.
Yuan ZhangNational Clinical Research Center for Children and Adolescents' Health and Diseases, Ministry of Education Key Laboratory of Child Development and Disorders, Department of Orthopedic, Children's Hospital of Chongqing Medical University, Chongqing, China.
Jun WuNational Clinical Research Center for Children and Adolescents' Health and Diseases, Ministry of Education Key Laboratory of Child Development and Disorders, Department of Orthopedic, Children's Hospital of Chongqing Medical University, Chongqing, China.
Xing LiuNational Clinical Research Center for Children and Adolescents' Health and Diseases, Ministry of Education Key Laboratory of Child Development and Disorders, Department of Orthopedic, Children's Hospital of Chongqing Medical University, Chongqing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Ultrasonography is a new alternative to conventional x-ray in fracture examination that avoids radiation damage, but it is unclear whether it can assess fracture healing in children. In this study, we propose to utilize Color Doppler ultrasound to examine in conservative treatment for pediatric femoral shaft fractures, aiming to determine whether there were differences in bone healing at different diaphyseal sites, thereby clarifying the value of ultrasound in fracture healing assessment. Methods: We performed a prospective observational study to investigate children with femoral shaft fractures treated conservatively who were admitted to our hospital from March 2017 to December 2021. All cases were divided into three groups according to the site of the fracture: upper, middle, and lower segments, and the children were followed-up and observed using Color Doppler ultrasound at the 1st, 2nd, 3rd, and 4th weeks after the injury, recorded the callus-to-femur width ratio (callus thickness/femur width, cm/cm), callus growth rate (callus thickness/days, cm/d), and vascular Resistive Index (RI) and compared the fracture recovery between the groups. Results: This study included 31 males and 12 females, for a total of 43 children with femoral shaft fractures. The results showed no statistical difference in callus-to-femur width ratio (cm/cm), callus growth rate (cm/d), and vascular Resistance Index (RI) detected at different fracture sites at the same time after injury ( Conclusion: These results indicate that children with femoral shaft fractures at different anatomical sites demonstrated comparable recovery rates during the early 4-week healing period under conservative treatment, and Color Doppler ultrasound can monitor the recovery process and effectively evaluate bone callus growth by detecting the blood supply around the edge of the fracture.

Indexed as

bone callusconservative treatmentfemoral shaft fracturepediatric fractureultrasonography

Identifiers

PMID41561506
PMCPMC12812909

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