Delayed union in internal fixation of pediatric both-bone forearm fractures

Christine A. Ho, Douglas L. Jarvis, James R. Phelps, Philip L. Wilson

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


The aim of this study was to retrospectively determine the risk factors for delayed union in 117 consecutive pediatric both-bone forearm fractures treated with internal fixation. Eight patients (7%, 8/117) had delayed unions, all were boys treated with intramedullary fixation for a fracture in the middle-third of the bone; and in seven patients, the ulna was the site of the delayed union. Older age, double-bone fixation, increased initial fracture displacement, and opening a closed ulna fracture were associated with longer time to union (P<0.05). Identification of risk factors will aid in the selection and duration of internal fixation and duration of immobilization.

Original languageEnglish (US)
Pages (from-to)383-387
Number of pages5
JournalJournal of Pediatric Orthopaedics Part B
Issue number4
StatePublished - Jul 2013


  • delayed union
  • forearm fractures
  • pediatric

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine


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