Alomran AK, Alzahrani BA, Alamoud DS, Alsultan LS, AlSaud MM, Althobaiti RG, Alruwaili BS. Role of post-operative X-rays in distal-radius fractures among pediatric patients. World J Orthop 2025; 16(5): 105590 [DOI: 10.5312/wjo.v16.i5.105590]
Corresponding Author of This Article
Ammar K Alomran, Assistant Professor, Department of Orthopedic, College of Medicine, Imam Abdulrahman Bin Faisal University, King Faisal Street, Dammam 31441, Saudi Arabia. aomran@iau.edu.sa
Research Domain of This Article
Orthopedics
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. May 18, 2025; 16(5): 105590 Published online May 18, 2025. doi: 10.5312/wjo.v16.i5.105590
Role of post-operative X-rays in distal-radius fractures among pediatric patients
Ammar K Alomran, Bandar A Alzahrani, Dana S Alamoud, Layan S Alsultan, Meshail M AlSaud, Raneem G Althobaiti, Badriah S Alruwaili
Ammar K Alomran, Bandar A Alzahrani, Department of Orthopedic, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam 31441, Saudi Arabia
Dana S Alamoud, Layan S Alsultan, Meshail M AlSaud, Raneem G Althobaiti, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam 31441, Saudi Arabia
Badriah S Alruwaili, Department of Orthopedic Surgery, Maternity and Children Hospital, Dammam 311140, Saudi Arabia
Author contributions: Alomran AK designed the research study; Alomran AK and Alzahrani BA performed the research; Alomran AK, Alzahrani BA, Alamoud DS, Alsultan LS, AlSaud MM, Althobaiti RG, and Alruwaili BS analyzed the data and wrote the manuscript; and all authors critically examined and approved the final text, and agreed to be responsible for the manuscript's content and similarity index.
Institutional review board statement: This study was approved by the Medical Ethics Committee of Imam Abdulrahman bin Faisal University, approval No. IRB-UGS-2024-01-002.
Informed consent statement: The need for patient consent was waived due to the retrospective nature of the study.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ammar K Alomran, Assistant Professor, Department of Orthopedic, College of Medicine, Imam Abdulrahman Bin Faisal University, King Faisal Street, Dammam 31441, Saudi Arabia. aomran@iau.edu.sa
Received: January 30, 2025 Revised: April 3, 2025 Accepted: April 27, 2025 Published online: May 18, 2025 Processing time: 107 Days and 21.7 Hours
Abstract
BACKGROUND
In pediatric age group patients (< 18 years old) treated operatively for distal radius/both bone fractures extending imaging beyond the initial postoperative period -particularly in uncomplicated cases - appears to provide limited additional benefit.
AIM
To determine the necessary number of follow-up X-rays to use resources efficiently.
METHODS
Participants included in this study are pediatric age group patients who were treated operatively for distal radius/both bone fractures and were identified from a prospected collected data from the operating room database between the years 2009 and 2017. The data in the study included patients who had distal radius fractures and underwent fixation surgery (n = 88).
RESULTS
When assessing the difference in the odds of conducting 1 or less X-ray compared to 2 or more X-rays in regard to the type of fixation, the only significant difference is the closed reduction fixation method. Patients who underwent closed reduction method procedure have significantly lower odds of having 2 more X-rays compared to those who didn’t have closed reduction method. Open reduction, internal fixation, and other fixation methods (close reduction and internal fixation, debridement, or epiphysiodesis) have higher odds of having two or more X-rays compared to patients who did not receive these methods; however, these odds are not statistically significant.
CONCLUSION
The findings of this study reveal notable absence of a statistically significant association between the frequency of postoperative X-rays and the outcome of children with distal radius fractures.
Core Tip: The study of patients who underwent fixation surgery subsequent to distal radius fracture unveiled several noteworthy findings. To determine the necessary number of follow-up X-rays to use resources efficiently. A total of 88 individuals were included. The findings of this study reveal notable absence of a statistically significant association between the frequency of postoperative X-rays and the outcome of patients with distal radius fractures.
