Closed Reduction Percutaneous Pinning Compared with Open Reduction Internal Fixation in Treating Supracondylar Fractures: A Systematic Review
Background: Supracondylar fractures are one of the most frequent pediatric bone fractures. There are well-known treatments for this fracture. The most commonly used procedure is closed percutaneous reduction pinning, and open reduction internal fixation is for irreducible fractures. This study aims...
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Universitas Airlangga
2023-04-01
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| Series: | Journal Orthopaedi and Traumatology Surabaya |
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| Online Access: | https://e-journal.unair.ac.id/JOINTS/article/view/37559 |
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| author | I Made Yedi Wisnawan I Kadek Yoga Premana Anak Agung Ngurah Krisna Dwipayana |
| author_facet | I Made Yedi Wisnawan I Kadek Yoga Premana Anak Agung Ngurah Krisna Dwipayana |
| author_sort | I Made Yedi Wisnawan |
| collection | DOAJ |
| description | Background: Supracondylar fractures are one of the most frequent pediatric bone fractures. There are well-known treatments for this fracture. The most commonly used procedure is closed percutaneous reduction pinning, and open reduction internal fixation is for irreducible fractures. This study aims to evaluate and review those two procedures in treating a supracondylar humeral fracture in children by evaluating the clinical and functional outcomes.
Methods: Systematic review and meta-analysis (PRISMA) were conducted. Using Boolean operators, literature was searched through PubMed, Google Scholar, Science Direct, and Cochrane Library. The outcomes assessed by Flynn's criteria include functional aspects, cosmetic factors, and other outcomes.
Results: From 130 studies obtained, after a full-text review, four studies were included in the systematic review. The total sample size was around 268 patients with a mean age of 4-14. Male patients were higher than females. There is no significant difference in satisfactory outcomes measured by Flynn's Criteria.
Discussion: Flynn's criteria was found to be different in the result of the studies. Insignificant loss of carrying degree and Baumann's angle between two procedures. Some complications, like nerve injury, infection, and scar, were also seen after surgery.
Conclusion: The two approaches have an insignificant difference in their functional outcome. The choice of which procedure to perform relies on the surgeon's preference and the situation of the fractures. |
| format | Article |
| id | doaj-art-6087524dd6e3459382ccbc892cdc273b |
| institution | Kabale University |
| issn | 2722-712X 2460-8742 |
| language | English |
| publishDate | 2023-04-01 |
| publisher | Universitas Airlangga |
| record_format | Article |
| series | Journal Orthopaedi and Traumatology Surabaya |
| spelling | doaj-art-6087524dd6e3459382ccbc892cdc273b2025-02-12T07:28:05ZengUniversitas AirlanggaJournal Orthopaedi and Traumatology Surabaya2722-712X2460-87422023-04-01121364210.20473/joints.v12i1.2023.36-4235628Closed Reduction Percutaneous Pinning Compared with Open Reduction Internal Fixation in Treating Supracondylar Fractures: A Systematic ReviewI Made Yedi Wisnawan0https://orcid.org/0000-0001-6188-2818I Kadek Yoga Premana1Anak Agung Ngurah Krisna Dwipayana2https://orcid.org/0000-0003-1913-2401Faculty of Medicine and Health Science Warmadewa University, Sanjiwani General Hospital, Gianyar, IndonesiaOrthopaedic Surgeon Department Orthopaedic and Traumatology, Sanjiwani General Hospital, Gianyar, IndonesiaResident of Orthopaedic and Traumatology Department, Faculty of Medicine Udayana University, Sanglah General Hospital, Denpasar, IndonesiaBackground: Supracondylar fractures are one of the most frequent pediatric bone fractures. There are well-known treatments for this fracture. The most commonly used procedure is closed percutaneous reduction pinning, and open reduction internal fixation is for irreducible fractures. This study aims to evaluate and review those two procedures in treating a supracondylar humeral fracture in children by evaluating the clinical and functional outcomes. Methods: Systematic review and meta-analysis (PRISMA) were conducted. Using Boolean operators, literature was searched through PubMed, Google Scholar, Science Direct, and Cochrane Library. The outcomes assessed by Flynn's criteria include functional aspects, cosmetic factors, and other outcomes. Results: From 130 studies obtained, after a full-text review, four studies were included in the systematic review. The total sample size was around 268 patients with a mean age of 4-14. Male patients were higher than females. There is no significant difference in satisfactory outcomes measured by Flynn's Criteria. Discussion: Flynn's criteria was found to be different in the result of the studies. Insignificant loss of carrying degree and Baumann's angle between two procedures. Some complications, like nerve injury, infection, and scar, were also seen after surgery. Conclusion: The two approaches have an insignificant difference in their functional outcome. The choice of which procedure to perform relies on the surgeon's preference and the situation of the fractures.https://e-journal.unair.ac.id/JOINTS/article/view/37559supracondylar humeral fractureclosed reduction percutaneous pinningopen reduction internal fixationhuman and medicine |
| spellingShingle | I Made Yedi Wisnawan I Kadek Yoga Premana Anak Agung Ngurah Krisna Dwipayana Closed Reduction Percutaneous Pinning Compared with Open Reduction Internal Fixation in Treating Supracondylar Fractures: A Systematic Review Journal Orthopaedi and Traumatology Surabaya supracondylar humeral fracture closed reduction percutaneous pinning open reduction internal fixation human and medicine |
| title | Closed Reduction Percutaneous Pinning Compared with Open Reduction Internal Fixation in Treating Supracondylar Fractures: A Systematic Review |
| title_full | Closed Reduction Percutaneous Pinning Compared with Open Reduction Internal Fixation in Treating Supracondylar Fractures: A Systematic Review |
| title_fullStr | Closed Reduction Percutaneous Pinning Compared with Open Reduction Internal Fixation in Treating Supracondylar Fractures: A Systematic Review |
| title_full_unstemmed | Closed Reduction Percutaneous Pinning Compared with Open Reduction Internal Fixation in Treating Supracondylar Fractures: A Systematic Review |
| title_short | Closed Reduction Percutaneous Pinning Compared with Open Reduction Internal Fixation in Treating Supracondylar Fractures: A Systematic Review |
| title_sort | closed reduction percutaneous pinning compared with open reduction internal fixation in treating supracondylar fractures a systematic review |
| topic | supracondylar humeral fracture closed reduction percutaneous pinning open reduction internal fixation human and medicine |
| url | https://e-journal.unair.ac.id/JOINTS/article/view/37559 |
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