000168132 001__ 168132 000168132 005__ 20260127160850.0 000168132 0247_ $$2doi$$a10.1097/BPO.0b013e31823832ea 000168132 0248_ $$2sideral$$a75911 000168132 037__ $$aART-2012-75911 000168132 041__ $$aeng 000168132 100__ $$0(orcid)0000-0003-3025-8048$$aLobo-Escolar, A.$$uUniversidad de Zaragoza 000168132 245__ $$aDelayed union in pediatric forearm fractures 000168132 260__ $$c2012 000168132 5203_ $$aBackground: The aim of this study was to assess the predictive factors of delayed union in pediatric forearm fractures. Few previous reports have approached this complication, but contrary to these studies we excluded cases with known pathogenic factors and included in the sample cases treated with conservative methods. Methods: This is a case-control study of all pediatric shaft forearm fractures presenting delayed union in a minimum follow-up period of 12 months, from 2003 through 2009, in a hospital covering a health area. Exclusion criteria were fracture dislocations, infection, suboptimal osteosynthesis, greenstick, open, pathologic, and associated radial head fractures. Statistical assessment included bivariate and multivariate linear regression analysis. Results: Four hundred and forty-one complete, both-bone forearm fractures were treated during the study period: 14 of them (3.2%) were identified as suffering delayed union; and 63 controls fulfilling inclusion criteria were randomly selected. Bivariate analysis showed significant differences between “union delay” and “control” groups in age, need of surgical treatment, open versus closed reduction, and mean time to hardware removal. However, open reduction of the fracture, more frequent in the “union delay” group, was the only variable that remained associated with time to consolidation in the multivariate analysis. Conclusions: The strongest predictor of union delay in pediatric forearm fractures is open reduction. Based on our results, we recommend to avoid when possible the open reduction of the fracture in patients undergoing surgery and to use instead closed reduction and internal fixation. Level of Evidence: A case-control study. Therapeutic level III. 000168132 540__ $$9info:eu-repo/semantics/closedAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/ 000168132 590__ $$a1.163$$b2012 000168132 591__ $$aPEDIATRICS$$b73 / 120 = 0.608$$c2012$$dQ3$$eT2 000168132 591__ $$aORTHOPEDICS$$b37 / 65 = 0.569$$c2012$$dQ3$$eT2 000168132 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000168132 700__ $$0(orcid)0000-0001-7441-8731$$aRoche, A. 000168132 700__ $$aBregante, J. 000168132 700__ $$0(orcid)0000-0002-1563-9136$$aGil-Alvaroba, ,J.$$uUniversidad de Zaragoza 000168132 700__ $$aSola, A. 000168132 700__ $$0(orcid)0000-0002-8643-7558$$aHerrera, A.$$uUniversidad de Zaragoza 000168132 7102_ $$11004$$2830$$aUniversidad de Zaragoza$$bDpto. Cirugía,Ginecol.Obstetr.$$cÁrea Traumatología y Ortopedia 000168132 773__ $$g32, 1 (2012), 54-57$$pJ. pediatr. orthop.$$tJOURNAL OF PEDIATRIC ORTHOPAEDICS$$x0271-6798 000168132 8564_ $$s510062$$uhttps://zaguan.unizar.es/record/168132/files/texto_completo.pdf$$yVersión publicada 000168132 8564_ $$s3010668$$uhttps://zaguan.unizar.es/record/168132/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000168132 909CO $$ooai:zaguan.unizar.es:168132$$particulos$$pdriver 000168132 951__ $$a2026-01-27-15:00:58 000168132 980__ $$aARTICLE