Acceptable angulation criteria in pediatric midshaft forearm fractures: A systematic review and meta-analysis

Abstract

ABSTRACT: Background: The well accepted standard for the management of pediatric both bone forearm fractures (BBFFs) is closed reduction and cast management. The acceptable angulation guidelines, dictated by patient age and fracture location, help determine when nonsurgical management should be abandoned. Despite their widespread acceptance, angulation guidelines are not evidence-based and have not been critically investigated within the reported literature. Methods: A systematic review and metanalysis was performed after isolating published articles from 1967 to 2021 from a review of MEDLINE, Embase, EBSCO, and Cochrane databases. Articles which reported on closed management of midshaft, pediatric (15° was significantly associated with the development of a symptomatic malunion. Level of Evidence: II

Keywords

• Pediatric
• Both bone forearm fracture
• Acceptable angulation
• Metanalysis