Obesity Increases Time to Union in Surgically Treated Pediatric Fracture Patients.
Journal
Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews
ISSN: 2474-7661
Titre abrégé: J Am Acad Orthop Surg Glob Res Rev
Pays: United States
ID NLM: 101724868
Informations de publication
Date de publication:
05 01 2022
05 01 2022
Historique:
received:
09
07
2021
accepted:
10
11
2021
entrez:
5
1
2022
pubmed:
6
1
2022
medline:
3
2
2022
Statut:
epublish
Résumé
To determine whether obesity affects time to radiographic union in surgically treated pediatric extremity fractures. A retrospective review of pediatric patients with extremity fractures at a Level 1 trauma center from 2010 to 2020. Those treated conservatively and patients with nonunions were excluded. Union was defined as radiographic evidence of bridging callus on all sides of the fracture and absence of the previous fracture line. Obese patients had a markedly increased time to union when compared with others, even when age, sex, fracture type, race, and ethnicity were controlled for. The mean time to union for obese and nonobese patients were 152 and 93.59 days, respectively (P < 0.001). Obese patients had 3.39 times increased odds of having increased time to union. Obese patients had 6.64 times increased odds of having fractures with delayed union of 4 months or greater (P < 0.001). There is a positive correlation between obesity and time to union in surgically treated pediatric fracture patients.
Identifiants
pubmed: 34986128
doi: 10.5435/JAAOSGlobal-D-21-00185
pii: 01979360-202201000-00006
pmc: PMC8735756
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons.
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