Comparing the Outcomes of Cast Immobilization with and Without K-Wire Fixation for Displaced Distal Radius Fractures in the Pediatric Population: A Systematic Review and Meta-Analysis
Abstract
1. Introduction
2. Materials and Methods
2.1. Search Strategy and Eligibility Criteria
2.2. Study Selection and Data Extraction
2.3. Risk of Bias
2.4. Parameters Evaluated
2.5. Statistical Analysis
3. Results
3.1. Study Selection and Characteristics
3.2. Patient Demographics and Baseline Characteristics
3.3. Clinical and Functional Outcomes by Meta-Analysis
3.3.1. Intervention Details
3.3.2. Re-Displacement
3.3.3. Secondary Interventions
3.3.4. Complications
3.4. Systematic Review
3.4.1. Radiological Outcomes
3.4.2. Range of Motion (ROM) Outcomes
3.4.3. Angulation Outcomes
3.5. Quality Assessment
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
DDRFs | displaced distal radius fractures. |
MINORS | Methodological Index for Non-Randomized Studies |
RCT | Randomized controlled study |
CI | Confidence interval |
References
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Study ID | Year | Study Design | Country | Total Patients | Group 1 (Cast) | Group 2 (K-Wire) | Age Range (Years) | Males (n) | Females (n) |
---|---|---|---|---|---|---|---|---|---|
Wendling‚ ÄêKeim, 2015 [25] | 2015 | Retrospective | Germany | 293 | 263 | 30 | 0–18 | ||
Jordan, 2012 [24] | 2012 | Retrospective | United Kingdom | 227 | 56 | 171 | 2–15 | 63 | 20 |
Diederix, 2021 [23] | 2021 | RCT | Netherlands | 128 | 67 | 61 | 3–9 | ||
McLauchlan, 2001 [22] | 2001 | RCT | Scotland | 68 | 33 | 35 | 4–14 | 42 | 26 |
Ozcan, 2010 [21] | 2010 | Retrospective | Turkey | 40 | 20 | 20 | 5–15 (K-wire), 6–14 (Cast) | ||
Delft, 2020 [20] | 2020 | Retrospective | Netherlands | 200 | 175 | 25 | 8–14 | 118 | 82 |
Colaris, 2013 [19] | 2012 | RCT | Netherlands | 128 | 67 | 61 | <16 | 83 | 45 |
Gibbons, 1994 [18] | 1994 | Retrospective randomized | England | 23 | 11 | 12 | 5–14 | 15 | 8 |
Miller, 2005 [17] | 2005 | Prospective randomized | United States | 34 | 18 | 16 | 10–14 | 31 | 3 |
Pim W. Van Egmond, 2011 [16] | 2011 | Retrospective cohort | Netherlands | 129 | 40 | 89 | 3–17 | 134 | 74 |
Wim van leemput, 2009 [15] | 2009 | Retrospective | Belgium | 39 | 24 | 15 | 8–13 | 27 | 12 |
Joreg Schneider, 2007 [14] | 2007 | Retrospective | Switzerland | 146 | 79 | 67 | 3–16 | 150 | 75 |
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Alotaibi, M.N.; Aldaraani, L.G.A.; Altala, A.S.; Alqurashi, A.A.; Alateeq, I.S.; Alkhamisi, A.A.; Allehaimeed, I.S.; Jad, A.Y.; Alosaimi, H.; Alharbi, B.H.; et al. Comparing the Outcomes of Cast Immobilization with and Without K-Wire Fixation for Displaced Distal Radius Fractures in the Pediatric Population: A Systematic Review and Meta-Analysis. Medicina 2025, 61, 852. https://doi.org/10.3390/medicina61050852
Alotaibi MN, Aldaraani LGA, Altala AS, Alqurashi AA, Alateeq IS, Alkhamisi AA, Allehaimeed IS, Jad AY, Alosaimi H, Alharbi BH, et al. Comparing the Outcomes of Cast Immobilization with and Without K-Wire Fixation for Displaced Distal Radius Fractures in the Pediatric Population: A Systematic Review and Meta-Analysis. Medicina. 2025; 61(5):852. https://doi.org/10.3390/medicina61050852
Chicago/Turabian StyleAlotaibi, Muteb N., Lamya Ghanim A. Aldaraani, Abdulaziz S. Altala, Aseel A. Alqurashi, Ismail S. Alateeq, Abdulkarim Abdullatif Alkhamisi, Ibrahim Saleh Allehaimeed, Ammar Yasser Jad, Hamed Alosaimi, Bassam H. Alharbi, and et al. 2025. "Comparing the Outcomes of Cast Immobilization with and Without K-Wire Fixation for Displaced Distal Radius Fractures in the Pediatric Population: A Systematic Review and Meta-Analysis" Medicina 61, no. 5: 852. https://doi.org/10.3390/medicina61050852
APA StyleAlotaibi, M. N., Aldaraani, L. G. A., Altala, A. S., Alqurashi, A. A., Alateeq, I. S., Alkhamisi, A. A., Allehaimeed, I. S., Jad, A. Y., Alosaimi, H., Alharbi, B. H., Alenezi, A., Almutairi, A. Z., Alroudhan, F. K., & Alqarni, M. M. (2025). Comparing the Outcomes of Cast Immobilization with and Without K-Wire Fixation for Displaced Distal Radius Fractures in the Pediatric Population: A Systematic Review and Meta-Analysis. Medicina, 61(5), 852. https://doi.org/10.3390/medicina61050852