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SUPRACONDYLAR FRACTURES IN CHILDREN: A SYSTEMATIC REVIEW OF TREATMENT OPTIONS

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Názov: SUPRACONDYLAR FRACTURES IN CHILDREN: A SYSTEMATIC REVIEW OF TREATMENT OPTIONS
Autori: Douglas Hideo Higuchi, Gabriel Alencar de Oliveira, João Paulo Alves, Lucas Lebedenco, Eiffel Tsuyoshi Dobashi
Zdroj: Acta Ortop Bras
Acta Ortopédica Brasileira, Vol 32, Iss 3 (2024)
Informácie o vydavateľovi: FapUNIFESP (SciELO), 2024.
Rok vydania: 2024
Predmety: Orthopedic surgery, Humeral Fractures, 03 medical and health sciences, Orthopaedic Fixation Devices, Postoperative Complications, 0302 clinical medicine, Fracture Fixation, Systematic Review Article/Orthopedic Trauma, Medicine, Child, RD701-811, 3. Good health
Popis: Objective: To compare the outcomes of surgical stabilization of pediatric supracondylar humeral fractures with the use of crossed Kirschner wires versus divergent lateral pinning wires. Methods: This is a systematic review with meta-analysis carried out by searching the MEDLINE/PubMed, Science Direct and Scielo databases. In these, the search for journals was carried out between January and August 2023, where 695 studies were found. To assess the quality of the studies, the Jadad and the MINORS scales were used.. The selection and reading of relevant articles were carried out by the researchers and 11 studies met the selection criteria. Results: From the 11 selected studies, 963 patients who met the criteria for the surgical treatment of these fractures were grouped. After the statistical analysis, we found that the ulnar nerve injury had a higher incidence when the crossed-K wire technique was used; and the lateral fixation is safer for the ulnar nerve. Conclusion: Both fixation techniques determine good functional results. However, fixation with lateral Kirschner wires proves to be safer considering the risk of iatrogenic injury to the ulnar nerve. Crossed-K wire fixation is more effective in terms of stability and maintenance of fracture reduction. Level of Evidence II, Systematic Review of Level II or Level I Studies with discrepant results.
Druh dokumentu: Article
Other literature type
ISSN: 1809-4406
1413-7852
DOI: 10.1590/1413-785220243203e278420
Prístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/39119247
https://doaj.org/article/6f49cf5d1b0d45918631fdeef1933486
Rights: CC BY
URL: http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by/4.0/)
Prístupové číslo: edsair.doi.dedup.....7bb71b8d6b03cec8c0b58ec753cb8b33
Databáza: OpenAIRE
Popis
Abstrakt:Objective: To compare the outcomes of surgical stabilization of pediatric supracondylar humeral fractures with the use of crossed Kirschner wires versus divergent lateral pinning wires. Methods: This is a systematic review with meta-analysis carried out by searching the MEDLINE/PubMed, Science Direct and Scielo databases. In these, the search for journals was carried out between January and August 2023, where 695 studies were found. To assess the quality of the studies, the Jadad and the MINORS scales were used.. The selection and reading of relevant articles were carried out by the researchers and 11 studies met the selection criteria. Results: From the 11 selected studies, 963 patients who met the criteria for the surgical treatment of these fractures were grouped. After the statistical analysis, we found that the ulnar nerve injury had a higher incidence when the crossed-K wire technique was used; and the lateral fixation is safer for the ulnar nerve. Conclusion: Both fixation techniques determine good functional results. However, fixation with lateral Kirschner wires proves to be safer considering the risk of iatrogenic injury to the ulnar nerve. Crossed-K wire fixation is more effective in terms of stability and maintenance of fracture reduction. Level of Evidence II, Systematic Review of Level II or Level I Studies with discrepant results.
ISSN:18094406
14137852
DOI:10.1590/1413-785220243203e278420