{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T17:01:12Z","timestamp":1773853272993,"version":"3.50.1"},"reference-count":27,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T00:00:00Z","timestamp":1773792000000},"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: Pediatric both-bone forearm fractures are commonly treated nonoperatively, yet early loss of reduction remains a clinically important problem. Childhood obesity may be associated with reduced early radiographic stability after closed reduction and casting. Materials and Methods: A retrospective single-center cohort study was performed, including children aged 3 to 13 years who presented between 2020 and 2023 with acute both-bone forearm fractures involving the radius and ulna. Patients were categorized as normal weight (BMI 5th\u201384th percentile) or obese (\u226595th percentile); overweight children (85th\u201394th percentile) were excluded. Fracture morphology and level, initial management (operative vs. conservative), and early loss of reduction were recorded. Multivariable logistic regression was conducted within the conservative cohort to identify independent factors associated with loss of reduction. Results: A total of 895 patients were included (normal weight n = 633; obese n = 262). Obese children had a higher proportion of complete fractures than normal-weight children (82.4% vs. 61.9%, p &lt; 0.001) and underwent operative management more frequently at index presentation (33.6% vs. 13.1%, p &lt; 0.001). Among conservatively treated patients (n = 724), early loss of reduction occurred in 36 cases and was more common in obese than normal-weight children (13.2% vs. 2.4%, p &lt; 0.001). In multivariable analysis, obesity was independently associated with loss of reduction (aOR 5.98; 95% CI 2.89\u201312.38; p &lt; 0.001). Conclusions: In children aged 3 to 13 years with both-bone forearm fractures treated with casting, obesity was independently associated with early loss of reduction. Weight status may serve as a practical clinical risk marker to support counseling and closer early radiographic surveillance during nonoperative care.<\/jats:p>","DOI":"10.3390\/medicina62030565","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T10:11:12Z","timestamp":1773828672000},"page":"565","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Obesity Is Independently Associated with Early Loss of Reduction After Casting in Pediatric Both-Bone Forearm Fractures: A Cohort Study of Children Aged 3\u201313 Years"],"prefix":"10.3390","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1243-2057","authenticated-orcid":false,"given":"Mehmet Yi\u011fit","family":"G\u00f6kmen","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Faculty of Medicine, \u00c7anakkale Onsekiz Mart University, \u00c7anakkale 17110, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4015-5045","authenticated-orcid":false,"given":"Ahmet","family":"Y\u0131lmaz","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Adana City Training and Research Hospital, University of Health Sciences, Adana 01230, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2680-2282","authenticated-orcid":false,"given":"Hasan Orkun","family":"Varm\u0131\u015f","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Adana City Training and Research Hospital, University of Health Sciences, Adana 01230, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2345-0827","authenticated-orcid":false,"given":"\u00d6zhan","family":"Pazarc\u0131","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Adana City Training and Research Hospital, University of Health Sciences, Adana 01230, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,3,18]]},"reference":[{"key":"ref_1","first-page":"1","article-title":"Fracture Patterns in Children. Analysis of 8682 Fractures with Special Reference to Incidence, Etiology and Secular Changes in a Swedish Urban Population 1950\u20131979","volume":"202","author":"Landin","year":"1983","journal-title":"Acta Orthop. Scand. Suppl."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"100267","DOI":"10.1016\/j.jposna.2025.100267","article-title":"Surgical and Conservative Management Are Both Effective for Pediatric Both Bone Forearm Fractures: A Systematic Review and Meta-Analysis","volume":"13","author":"Sharma","year":"2025","journal-title":"J. Pediatr. Orthop. Soc. N. Am."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1007\/s12178-022-09783-2","article-title":"Malunion of Pediatric Forearm Shaft Fractures: Management Principles and Techniques","volume":"15","author":"Li","year":"2022","journal-title":"Curr. Rev. Musculoskelet. Med."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"\u0160imunovi\u0107, I., Mr\u010dela, D., Karin, \u017d., Pogoreli\u0107, Z., and Marki\u0107, J. (2024). Prevalence of Overweight and Obesity among Primary School Students in Split, Croatia. Nutrients, 16.","DOI":"10.3390\/nu16203488"},{"key":"ref_5","first-page":"95","article-title":"Factors Affecting Re-Displacement in Pediatric Forearm Fractures and the Role of Cast Indices","volume":"31","year":"2020","journal-title":"Jt. Dis. Relat. Surg."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1","DOI":"10.46889\/JOSR.2020.1103","article-title":"The Role of Obesity on Cast Index and Secondary Intervention in Pediatric Forearm Fractures","volume":"1","author":"McGurk","year":"2020","journal-title":"J. Orthop. Sci. Res."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"e46","DOI":"10.1097\/BOT.0000000000001010","article-title":"Obesity Increases Risk of Loss of Reduction After Casting for Diaphyseal Fractures of the Radius and Ulna in Children: An Observational Cohort Study","volume":"32","author":"DeFrancesco","year":"2018","journal-title":"J. Orthop. Trauma."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"437","DOI":"10.55275\/JPOSNA-2022-437","article-title":"Do Forearm Fracture Characteristics and Outcomes Differ Between Obese and Non-Obese Children?","volume":"4","author":"Lyons","year":"2022","journal-title":"J. Pediatr. Orthop. Soc. N. Am."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1542\/peds.109.1.45","article-title":"Centers for Disease Control and Prevention 2000 Growth Charts for the United States: Improvements to the 1977 National Center for Health Statistics Version","volume":"109","author":"Ogden","year":"2002","journal-title":"Pediatrics"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"378","DOI":"10.5152\/j.aott.2020.19128","article-title":"Elastic Stable Intramedullary Nailing for Treatment of Pediatric Forearm Fractures: A 15-Year Single Centre Retrospective Study of 173 Cases","volume":"54","author":"Gulin","year":"2020","journal-title":"Acta Orthop. Traumatol. Turc."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"146","DOI":"10.5435\/00124635-199805000-00002","article-title":"Forearm and Distal Radius Fractures in Children","volume":"6","author":"Noonan","year":"1998","journal-title":"J. Am. Acad. Orthop. Surg."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"26","DOI":"10.5704\/MOJ.2311.005","article-title":"Radiological Criteria for Acceptable Alignment in Paediatric Mid-Shaft Forearm Fractures: A Systematic Review","volume":"17","author":"Scotcher","year":"2023","journal-title":"Malays. Orthop. J."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"2167","DOI":"10.1542\/peds.2005-1832","article-title":"Orthopedic Complications of Overweight in Children and Adolescents","volume":"117","author":"Taylor","year":"2006","journal-title":"Pediatrics"},{"key":"ref_14","first-page":"e036","article-title":"The Role of Obesity in Pediatric Orthopedics","volume":"3","author":"Nowicki","year":"2019","journal-title":"J. Am. Acad. Orthop. Surg. Glob. Res. Rev."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"26338","DOI":"10.1038\/s41598-025-11203-7","article-title":"The Impact of Childhood Obesity on Different Fracture Sites","volume":"15","author":"Yang","year":"2025","journal-title":"Sci. Rep."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1007\/s12306-020-00684-6","article-title":"Management of Pediatric Forearm Fractures: What Is the Best Therapeutic Choice? A Narrative Review of the Literature","volume":"105","author":"Caruso","year":"2021","journal-title":"Musculoskelet. Surg."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1224","DOI":"10.2106\/JBJS.G.00624","article-title":"Risk Factors in Redisplacement of Distal Radial Fractures in Children","volume":"90","author":"Uysal","year":"2008","journal-title":"J. Bone Jt. Surg."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1097\/BPO.0000000000000239","article-title":"Distal Radial Fractures in Children: Risk Factors for Redisplacement Following Closed Reduction","volume":"35","author":"Asadollahi","year":"2015","journal-title":"J. Pediatr. Orthop."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"S131","DOI":"10.1097\/BPO.0b013e318259543b","article-title":"Evidence-Based Medicine: Management of Pediatric Forearm Fractures","volume":"32","author":"Franklin","year":"2012","journal-title":"J. Pediatr. Orthop."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1097\/01241398-199403000-00015","article-title":"Short Arm Plaster Cast for Distal Pediatric Forearm Fractures","volume":"14","author":"Chess","year":"1994","journal-title":"J. Pediatr. Orthop."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1016\/j.jhsg.2020.05.003","article-title":"Risk Factors for Failed Closed Reduction of Pediatric Distal Radius Fractures","volume":"2","author":"LaValva","year":"2020","journal-title":"J. Hand Surg. Glob. Online"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1007\/s00068-019-01227-w","article-title":"Risk Factors for Fracture Redisplacement after Reduction and Cast Immobilization of Displaced Distal Radius Fractures in Children: A Meta-Analysis","volume":"46","author":"Sengab","year":"2020","journal-title":"Eur. J. Trauma. Emerg. Surg."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"100206","DOI":"10.1016\/j.jposna.2025.100206","article-title":"Loss of Reduction in Pediatric Distal Radius Fractures: Risk Factors From a Prospective Multicenter Registry","volume":"12","author":"Shah","year":"2025","journal-title":"J. Pediatr. Orthop. Soc. N. Am."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1911","DOI":"10.1016\/j.jhsa.2008.10.013","article-title":"Pediatric Distal Radius and Forearm Fractures","volume":"33","author":"Bae","year":"2008","journal-title":"J. Hand Surg."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"835","DOI":"10.1097\/PEC.0000000000000628","article-title":"The Association Between Weight Status and Pediatric Forearm Fractures Resulting From Ground-Level Falls","volume":"31","author":"Ryan","year":"2015","journal-title":"Pediatr. Emerg. Care"},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Slullitel, P., Rossi, L., and Camino-Willhuber, G. (2024). Pediatric Fracture of the Forearm and Wrist. Orthopaedics and Trauma, Springer International Publishing.","DOI":"10.1007\/978-3-031-30518-4"},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Vescio, A., Testa, G., Sapienza, M., Caldaci, A., Montemagno, M., Andreacchio, A., Canavese, F., and Pavone, V. (2022). Is Obesity a Risk Factor for Loss of Reduction in Children with Distal Radius Fractures Treated Conservatively?. Children, 9.","DOI":"10.3390\/children9030425"}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/62\/3\/565\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T10:34:07Z","timestamp":1773830047000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/62\/3\/565"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,18]]},"references-count":27,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026,3]]}},"alternative-id":["medicina62030565"],"URL":"https:\/\/doi.org\/10.3390\/medicina62030565","relation":{},"ISSN":["1648-9144"],"issn-type":[{"value":"1648-9144","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,18]]}}}