ArticleAdvanced biomedical research2025
Redisplacement after Closed Reduction in Pediatric Both-Bone Forearm Fractures: The Role of Initial Fracture Angulation and Cast Index.
Article in Advanced biomedical research, 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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4 authors.
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Abstract
Background: Both-bone forearm fractures are common in children and often treated with closed reduction and casting, though redisplacement remains a concern. This study investigates whether initial fracture angulation and cast index can reliably predict redisplacement and post-treatment angulation outcomes. Materials and Methods: A total of 53 skeletally immature patients with closed both-bone forearm fractures were included. Baseline radiographs assessed fracture location, angulation, displacement, and apex direction. Correlation and regression analyses evaluated the relationship between initial angulation, cast index, and angulation at follow-up. A binary logistic regression model assessed the predictive value of cast index and initial angulation for early redisplacement. Additionally, a receiver operating characteristic (ROC) curve was generated to determine the optimal angulation threshold for predicting redisplacement. Results: At 6 weeks, the mean residual angulation was 6.63° (standard deviation = 4.92). Redisplacement occurred in 5 patients (10%) within the first 2 weeks. No significant differences were observed in outcomes based on sex, fracture location, or apex type. Cast index correlated strongly with 6-week angulation ( Conclusions: Initial fracture angulation is a stronger predictor of early redisplacement than cast index. Angulations exceeding 23° significantly increase the risk of redisplacement. Further studies with larger cohorts and longer follow-up are warranted.
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