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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

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[Trochanteric fixation nail advanced for trochanteric femoral fractures : Central cut-out as a new problem?]

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[Does endoprosthetic treatment of medial femoral neck fractures in obese patients using a minimally invasive anterolateral approach have a higher complication rate? : A retrospective case-control study].

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Treatment and outcomes of periprosthetic femoral fractures in patients aged 90 years or older - a retrospective bicentre cohort study with 107 patients.

European journal of trauma and emergency surgery : official publication of the European Trauma Society·2026
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Is Perioperative Antibiotic Prophylaxis Necessary for Pediatric and Adolescent ESIN Osteosyntheses?-A Retrospective Analysis of 939 Surgical Procedures.

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Related Experiment Video

Updated: May 10, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

Are Routine 4-Week Radiographs After ESIN Osteosynthesis in Pediatric Forearm Fractures Necessary?: A Retrospective

Roland Mojica Crespo1,2, Clemens Memmel1,2, Lino Hundhausen1,2

  • 1Department of Pediatric Surgery and Pediatric Orthopedics, Clinic St. Hedwig, Barmherzige Brueder Regensburg, KUNO Pediatric University Medical Center.

Journal of Pediatric Orthopedics
|May 8, 2026
PubMed
Summary
This summary is machine-generated.

Routine 4-week X-rays after pediatric forearm fracture fixation with elastic stable intramedullary nailing (ESIN) are not beneficial for asymptomatic children. This study suggests a risk-adapted follow-up protocol is needed to optimize care.

Keywords:
ESINelastic stable intramedullary nailingpediatric forearm fracturespostoperative follow-upradiographic controlrisk-adapted algorithm

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Area of Science:

  • Pediatric Orthopedics
  • Trauma Surgery
  • Medical Imaging

Background:

  • Elastic stable intramedullary nailing (ESIN) is a standard treatment for unstable pediatric forearm fractures.
  • Routine 4-week radiographic follow-up is common but its clinical value is uncertain.
  • This study investigates the necessity of routine 4-week radiographs and proposes a risk-adapted protocol.

Purpose of the Study:

  • To assess the clinical relevance of routine 4-week radiographs in pediatric forearm fractures treated with ESIN.
  • To determine if asymptomatic children benefit from 4-week radiographic follow-up.
  • To develop a risk-adapted follow-up strategy for these patients.

Main Methods:

  • Retrospective analysis of 553 pediatric patients (0-18 years) treated with ESIN for diaphyseal forearm fractures.
  • Evaluation of clinical and radiologic findings at 4-week follow-up.
  • Statistical analysis including logistic regression to identify predictors of therapeutic consequences.

Main Results:

  • 65.5% of patients were asymptomatic at 4 weeks.
  • Radiographic abnormalities were infrequent (1.3%) and absent in asymptomatic children.
  • Clinical abnormalities were associated with a higher incidence of radiologic findings (2.6% vs. 1.1%).

Conclusions:

  • Routine 4-week radiographs do not yield therapeutic consequences in asymptomatic pediatric forearm fracture patients treated with ESIN.
  • A risk-adapted X-ray protocol is proposed, requiring further prospective validation.
  • Clinical assessment is crucial for guiding follow-up decisions.