Publication Name	World Journal of Clinical Pediatrics
Manuscript ID	120900
Country	Egypt

Category	Orthopedics
Manuscript Type	Systematic Reviews
Article Title	Is it safe to use intramedullary headless screws for pediatric hand fractures: A systematic review
Manuscript Source	Invited Manuscript
All Author List	Ahmed A Khalifa, Ahmed A Megahed and Ahmad Imran
Funding Agency and Grant Number
Corresponding Author	Ahmed A Khalifa, Assistant Professor, FRCS, MD, Department of Orthopaedic, Qena Faculty of Medicine and University Hospital, South Valley University, Kilo 6 Qena-Safaga Highway, Qena 83523, Qina, Egypt. ahmed_adel0391@med.svu.edu.eg
Key Words	Pediatrics; Skeletally immature; Hand fractures; Metacarpal fracture; Proximal phalanx fracture; Intramedullary; Headless screws
Core Tip	Pediatric hand fractures are mostly treated conservatively with immobilization, with acceptable outcomes. A subset of these fractures is amenable to operative management, especially those with malalignment or displacement, or when conservative management fails. Closed reduction and fixation using intramedullary headless screws (IMHS) is an operative management option and has proven efficacy in adults. Although the current systematic review included a small number of patients, IMHS fixation of pediatric metacarpal or proximal phalanx fractures resulted in excellent functional outcomes, 100% union rate, and 0% complications. These early results are encouraging, enabling IMHS to be considered for operative management of pediatric hand fractures.
Citation	Khalifa AA, Megahed AA, Imran A. Is it safe to use intramedullary headless screws for pediatric hand fractures: A systematic review. World J Clin Pediatr 2026; In press

Received	2026-03-11 03:34
Peer-Review Started	2026-03-11 03:36
First Decision by Editorial Office Director	2026-03-27 10:26
Return for Revision	2026-03-27 10:26
Revised	2026-04-05 14:53
Publication Fee Transferred
Second Decision by Editor	2026-06-01 02:41
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-06-01 08:04
Articles in Press	2026-06-01 08:04
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2219-2808 (online)
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Copyright	©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
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