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Updated: Jan 19, 2026

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
Predictors of conversion from conservative to operative treatment of pediatric forearm fractures
Corinna C Franklin1, Tishya Wren, Eric Ferkel
1aShriners Hospital for Children, Philadelphia, Pennsylvania bChildren's Orthopaedic Center, Children's Hospital Los Angeles cDepartment of Orthopaedics, LAC/USC Medical Center, Los Angeles, California, USA.
Abstract:
Forearm fractures occur commonly in children; however, there is still uncertainty on what leads to conversion from conservative to operative management. Patients who initially underwent closed reduction and casting for diaphyseal forearm fractures were evaluated for predictors of conversion to operative management. We found that the 20 of 124 (16%) patients in whom there was conversion to operative management were significantly older (11.1 vs. 5.7 nonoperative), had less angulation in the anterior-posterior (or coronal) plane (20.2 vs. 12.8° for the radius, 17.5 vs. 7.8° for the ulna), had a more proximal ulnar fracture location, and had more translated or shortened radius fractures.
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