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Comparison of lateral entry with crossed entry pinning for pediatric supracondylar humeral fractures: a meta-analysis
- Source :
- Journal of Orthopaedic Surgery and Research, Vol 13, Iss 1, Pp 1-8 (2018), Journal of Orthopaedic Surgery and Research
- Publication Year :
- 2018
- Publisher :
- BMC, 2018.
-
Abstract
- Background The standard treatment for severe displaced pediatric supracondylar humeral fracture (SCHF) is closed reduction and percutaneous pin fixation. However, controversy persists concerning the optimal pin fixation technique. The purpose of this study was to compare the safety and efficacy on the configuration of lateral entry only with crossed entry pin fixation for SCHF, including Gartland type II and type III fractures in children. Methods Published literatures, including retrospective studies, prospective studies, and randomized controlled trials, presenting the probability of poor functional consequence of elbow and/or loss of reduction and/or iatrogenic ulnar nerve injury and/or superficial infection and/or cubitus varus were included. Statistical analysis was performed with the Review Manager 5.3 software. Results Twenty-four studies were included in the present meta-analysis involving 1163 patients with lateral entry pins and 1059 patients with crossed entry pins. An excellent score of Flynn criteria occurred more commonly in patients who treated with crossed pins than in patients with lateral pins only (RR = 0.93; 95% CI 0.87–0.99; P = 0.03). In accordance with previous systematic review, the incidence of iatrogenic ulnar nerve injury in crossed entry group was significantly more than in lateral entry group with statistical difference (RR = 0.26; 95% CI 0.14–0.47; P
- Subjects :
- Humeral Fractures
medicine.medical_specialty
Percutaneous
lcsh:Diseases of the musculoskeletal system
Elbow
Bone Nails
Fracture Fixation, Internal
03 medical and health sciences
0302 clinical medicine
lcsh:Orthopedic surgery
Elbow Joint
medicine
Supracondylar humeral fracture
Humans
Orthopedics and Sports Medicine
030212 general & internal medicine
Range of Motion, Articular
Ulnar nerve
Prospective cohort study
Ulnar Nerve
Pediatric
030222 orthopedics
business.industry
Standard treatment
Retrospective cohort study
medicine.disease
Pin fixation
Surgery
Radiography
lcsh:RD701-811
medicine.anatomical_structure
Cubitus varus
Orthopedic surgery
lcsh:RC925-935
business
Research Article
Subjects
Details
- Language :
- English
- Volume :
- 13
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Journal of Orthopaedic Surgery and Research
- Accession number :
- edsair.doi.dedup.....f84783871af70613856d3ba9e66e88f6