{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T17:51:36Z","timestamp":1787161896562,"version":"build-2736575974"},"reference-count":30,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T00:00:00Z","timestamp":1746489600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background and Objectives: Distal radius fractures are among the most common pediatric injuries, accounting for approximately 25% of all fractures in children. Displaced fractures are prone to re-displacement, necessitating additional interventions. K-wire fixation is effective in reducing re-displacement risks, but no one has systematically assessed its use. This study aims to compare the outcomes of cast immobilization alone versus cast immobilization with K-wire fixation in pediatric patients with displaced distal radius fractures. Methods: A comprehensive search of PubMed, Web of Science, Cochrane CENTRAL, Scopus, and Embase databases for studies comparing these treatments. The quality assessment was conducted using the Cochrane Collaboration Risk of Bias for randomized studies and the Methodological Index for non-randomized studies. The meta-analysis was carried out using RevMan software V5.4. Results: Out of 267 initial records, 12 studies met the inclusion criteria, encompassing 1455 patients (853 treated with cast alone and 602 with K-wire fixation). Meta-analysis of 10 studies showed significantly higher re-displacement rates with cast immobilization compared to K-wire fixation (OR: 11.42, 95% CI: 2.43\u201353.77, p = 0.002, I2 = 82%). The risk of secondary surgery was also higher in the cast group (OR: 6.91, 95% CI: 1.5\u201331.72, p = 0.01, I2 = 75%). However, complications were lower with cast immobilization (OR: 0.68, 95% CI: 0.45\u20131.03, p = 0.07, I2 = 74%), though not statistically significant. Conclusions: K-wire fixation appears to offer superior fracture stability and reduces the need for secondary surgeries compared to cast immobilization for displaced distal radius fractures in pediatric patients. However, both treatment modalities are associated with comparable complication rates, emphasizing the importance of individualized treatment planning.<\/jats:p>","DOI":"10.3390\/medicina61050852","type":"journal-article","created":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T04:28:22Z","timestamp":1746505702000},"page":"852","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["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"],"prefix":"10.3390","volume":"61","author":[{"given":"Muteb N.","family":"Alotaibi","sequence":"first","affiliation":[{"name":"College of Medicine, Alfaisal University, Riyadh 13523, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lamya Ghanim A.","family":"Aldaraani","sequence":"additional","affiliation":[{"name":"Ministry of Health, Riyadh 62521, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulaziz S.","family":"Altala","sequence":"additional","affiliation":[{"name":"College of Medicine, Dar Aluloom University, Riyadh 13523, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aseel A.","family":"Alqurashi","sequence":"additional","affiliation":[{"name":"College of Applied Medical Science, Al Taif University, Taif 26511, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8613-6417","authenticated-orcid":false,"given":"Ismail S.","family":"Alateeq","sequence":"additional","affiliation":[{"name":"College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh 13523, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulkarim Abdullatif","family":"Alkhamisi","sequence":"additional","affiliation":[{"name":"College of Medicine, King Abdulaziz University, Jeddah 22233, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim Saleh","family":"Allehaimeed","sequence":"additional","affiliation":[{"name":"General Practice, Qassim Health Cluster, Buraydah 52261, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ammar Yasser","family":"Jad","sequence":"additional","affiliation":[{"name":"Ministry of Health, Jeddah 22233, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7978-7667","authenticated-orcid":false,"given":"Hamed","family":"Alosaimi","sequence":"additional","affiliation":[{"name":"Ministry of Health, Buraydah 52261, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bassam H.","family":"Alharbi","sequence":"additional","affiliation":[{"name":"College of Medicine, King Abdulaziz University, Jeddah 22233, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad","family":"Alenezi","sequence":"additional","affiliation":[{"name":"Ministry of Health, Kuwait City 91104, Kuwait"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aliyah Zayed","family":"Almutairi","sequence":"additional","affiliation":[{"name":"College of Applied Medicine Sciences, King Saud University, Riyadh 13523, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fares Khalid","family":"Alroudhan","sequence":"additional","affiliation":[{"name":"College of Medicine, Dar Aluloom University, Riyadh 13523, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9864-3618","authenticated-orcid":false,"given":"Mahdi Mofarah","family":"Alqarni","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopedics, Maternity and Children Hospital, Abha 62521, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,5,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1003","DOI":"10.1007\/s00068-018-1011-y","article-title":"Displaced distal radius fractures in children, cast alone vs additional K-wire fixation: A meta-analysis","volume":"45","author":"Sengab","year":"2019","journal-title":"Eur. 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Hand Surg."}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/61\/5\/852\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T17:27:25Z","timestamp":1760030845000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/61\/5\/852"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,6]]},"references-count":30,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2025,5]]}},"alternative-id":["medicina61050852"],"URL":"https:\/\/doi.org\/10.3390\/medicina61050852","relation":{},"ISSN":["1648-9144"],"issn-type":[{"value":"1648-9144","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,6]]}}}