Obesity Increases Time to Union in Surgically Treated Pediatric Fracture Patients

David Heath, David Momtaz, Abdullah Ghali, Luis Salazar, Steven Gibbons, Grant Hogue

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Introduction: To determine whether obesity affects time to radiographic union in surgically treated pediatric extremity fractures. Methods: 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. Results: 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). Conclusions: There is a positive correlation between obesity and time to union in surgically treated pediatric fracture patients.

Original languageEnglish (US)
Article numberD-21-00185
JournalJournal of the American Academy of Orthopaedic Surgeons Global Research and Reviews
Volume6
Issue number1
DOIs
StatePublished - Jan 5 2022

ASJC Scopus subject areas

  • General Medicine

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