Displaced supracondylar humeral fractures in children: open reduction vs. closed reduction and pinning

Özkoç, Gürkan; Gönç, Uğur; Kayaalp, Asım; Teker, Kursat; Peker, Tülay Tunçer

doi:10.1007/s00402-004-0730-1

Cited by 88 publications

(76 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There is no definitive treatment for Gartland type III supracondylar fractures. Proponents of closed reduction with percutaneous pinning state that fewer complications such as infection and loss of movement occur with closed reduction [12,13]. Also the hospital stay is reduced.…”

Section: Discussionmentioning

confidence: 99%

“…Many methods have been recommended for the treatment of type III fractures including closed reduction and cast immobilisation, traction by various methods and reduction via closed or open means and fixation by Kirschner (K-) wires [1,[11][12][13][14][15]. The aim of this study was to evaluate the outcomes of two different treatment options (primarily closed reduction and percutaneous pinning versus primarily open reduction with pinning) for type III extension fractures performed at two different institutes.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Operative management of type III extension supracondylar fractures in children

Kazımoğlu

Çetin

Şener

et al. 2008

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

The purpose of this study was to compare primarily open versus primarily closed surgical treatment of Gartland type III extension supracondylar fractures in children. Also the outcomes of different pinning techniques in open surgery were evaluated retrospectively. Eighty displaced type III extension supracondylar fractures treated consecutively at two different centres were included. The treatment protocol of one institute was primarily closed reduction and percutaneous cross-pinning (n=43). The treatment protocol of the other institute was primarily open reduction and internal fixation (n=37) with two lateral parallel pins (n=11), cross pins (n=11) and two lateral and one medial pin (n=15) according to the stability and configuration of the fracture. According to Flynn's criteria the outcomes of the open and closed reduction groups were not statistically significant (P>0.05). Although the outcomes of closed reduction showed no superiority over open reduction, it should be the first choice of treatment due to its low morbidity and short hospital stay.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Operative management of type III extension supracondylar fractures in children

Kazımoğlu

Çetin

Şener

et al. 2008

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

show abstract

“…The levels of evidence of these studies were II (prospective comparative study) [2], III (retrospective comparative study) [1,7], and IV (case series) [21,26,35,39]. Two hundred and twenty-six patients were included for the final analysis.…”

Section: Methodsmentioning

confidence: 99%

“…Two hundred and twenty-six patients were included for the final analysis. Patients were distributed into the different surgical approaches as follows: lateral (58) [2,7,21], medial (50) [21,26,39], posterior (47) [1,21,26], anterior (65) [35,39], and medial ? lateral (6) [21,26,39].…”

Section: Methodsmentioning

confidence: 99%

“…Supracondylar humerus fractures (SCHF) are common pediatric injuries [1][2][3][4], representing about 3% of all fractures [5,6], are the second most common fractures [7,8], the most frequent fractures in children under 8 years of age [1,[7][8][9][10], and the most common elbow fractures [9,11,12]. Two-thirds of children hospitalized because of an elbow injury have an SCHF [11].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Surgical approaches for open reduction and pinning in severely displaced supracondylar humerus fractures in children: A systematic review

Mazzini

Martín

Esteban

2010

Journal of Children's Orthopaedics

View full text Add to dashboard Cite

Purpose There is no clear evidence in the actual literature regarding which of the surgical approaches could bring about the best functional, cosmetic, and radiological outcomes, as well as fewer complications, when an open reduction and pinning of a severely displaced supracondylar humerus fracture is performed. We, therefore, performed a systematic review of the English literature to investigate the existing evidence regarding this issue. Methods A MEDLINE and EMBASE databases search was performed to identify articles that focused on the functional, cosmetic, and radiological outcomes, as well as post-surgical complications, regarding different surgical approaches used for open reduction and pinning in severely displaced supracondylar humerus fractures in children. One hundred and ninety-four articles were identified, of which seven were included for review. Data analysis included weighted means for all contingency tables and the Chi-square test. Standardized residues were studied when the Chi-square test was statistically significant. Statistical analyses were conducted using Stata 9.1/SE (StataCorp., College Station, TX) and P-values lower than 0.05 were considered to be statistically significant for all analyses. Results For functional outcome, a high frequency of excellent results was found within the lateral and medial approaches, and a high frequency of good results within the anterior approach. A high frequency of poor results was found within the posterior approach. For cosmetic outcome, there was a high frequency of fair results within the posterior and lateral approaches, and a high frequency of poor results within the posterior approach. No statistically significant difference regarding time to union, as well as complications, was found. Conclusion Our results suggest that a combined anteromedial approach could be the method which allows the achievement of better functional and cosmetic outcome according to Flynn's criteria. Time to union, as well as post-surgical complications, should not be an issue regarding surgical approaches used for open reduction and pinning in these fractures.

show abstract

Evidence-Based Treatments of Paediatric Elbow Fractures

Mounsey

Howard

2016

Paediatric Orthopaedics

View full text Add to dashboard Cite

Displaced supracondylar humeral fractures in children: open reduction vs. closed reduction and pinning

Cited by 88 publications

References 19 publications

Operative management of type III extension supracondylar fractures in children

Operative management of type III extension supracondylar fractures in children

Surgical approaches for open reduction and pinning in severely displaced supracondylar humerus fractures in children: A systematic review

Evidence-Based Treatments of Paediatric Elbow Fractures

Contact Info

Product

Resources

About