What is the best fixation technique for the treatment of supracondylar humerus fractures in children?
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Ortopedia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000400428 |
Resumo: | ABSTRACT OBJECTIVE: To define the best technique for the surgical treatment of supracondylar fracture of the humerus (SFH) in children, evaluating percutaneous pinning with side wires vs. cross-pinning. METHODS: Randomized controlled trials using the Medline, CAPES, and BIREME. The criteria for inclusion of articles criteria were: (1) randomized controlled trials (RCTs) comparing percutaneous wire fixation techniques, (2) SFH Gartland II B, III, and IV, and (3) children aged 1-14 years. The following were used as main variables: incidence of iatrogenic injury to the ulnar nerve and loss reduction. RESULTS: Eight studies were selected (521 patients) comparing surgical treatment with pinning in supracondylar fracture of the humerus in children Gartland II type B, III or IV. Iatrogenic injury to the ulnar nerve was greater with the cross-pinning technique, with RR 0.28 and p= 0.03, while the mini-open technique presented RR 0.14 and p= 0.2. A statistically significant greater loss of reduction in the lateral pinning was observed in FSU Gartland III and IV(p= 0.04). CONCLUSION: Based upon this meta-analysis of prospective randomized clinical trials, the following is recommended: (1) percutaneous pinning with lateral wires in supracondylar fractures of the humerus in children classified as Gartland II type B; (2) use of crossed wires for Gartland type III or IV, using the mini-open technique for the medial wire. |
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What is the best fixation technique for the treatment of supracondylar humerus fractures in children?Humeral fracturesFracture internal fixationChildBone wiresABSTRACT OBJECTIVE: To define the best technique for the surgical treatment of supracondylar fracture of the humerus (SFH) in children, evaluating percutaneous pinning with side wires vs. cross-pinning. METHODS: Randomized controlled trials using the Medline, CAPES, and BIREME. The criteria for inclusion of articles criteria were: (1) randomized controlled trials (RCTs) comparing percutaneous wire fixation techniques, (2) SFH Gartland II B, III, and IV, and (3) children aged 1-14 years. The following were used as main variables: incidence of iatrogenic injury to the ulnar nerve and loss reduction. RESULTS: Eight studies were selected (521 patients) comparing surgical treatment with pinning in supracondylar fracture of the humerus in children Gartland II type B, III or IV. Iatrogenic injury to the ulnar nerve was greater with the cross-pinning technique, with RR 0.28 and p= 0.03, while the mini-open technique presented RR 0.14 and p= 0.2. A statistically significant greater loss of reduction in the lateral pinning was observed in FSU Gartland III and IV(p= 0.04). CONCLUSION: Based upon this meta-analysis of prospective randomized clinical trials, the following is recommended: (1) percutaneous pinning with lateral wires in supracondylar fractures of the humerus in children classified as Gartland II type B; (2) use of crossed wires for Gartland type III or IV, using the mini-open technique for the medial wire.Sociedade Brasileira de Ortopedia e Traumatologia2017-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000400428Revista Brasileira de Ortopedia v.52 n.4 2017reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1016/j.rboe.2017.05.013info:eu-repo/semantics/openAccessPatriota,Gyoguevara Sol Queiroz AndradeAssunção Filho,Carlos AlbertoAssunção,Carlos Albertoeng2017-10-03T00:00:00Zoai:scielo:S0102-36162017000400428Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2017-10-03T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
What is the best fixation technique for the treatment of supracondylar humerus fractures in children? |
title |
What is the best fixation technique for the treatment of supracondylar humerus fractures in children? |
spellingShingle |
What is the best fixation technique for the treatment of supracondylar humerus fractures in children? Patriota,Gyoguevara Sol Queiroz Andrade Humeral fractures Fracture internal fixation Child Bone wires |
title_short |
What is the best fixation technique for the treatment of supracondylar humerus fractures in children? |
title_full |
What is the best fixation technique for the treatment of supracondylar humerus fractures in children? |
title_fullStr |
What is the best fixation technique for the treatment of supracondylar humerus fractures in children? |
title_full_unstemmed |
What is the best fixation technique for the treatment of supracondylar humerus fractures in children? |
title_sort |
What is the best fixation technique for the treatment of supracondylar humerus fractures in children? |
author |
Patriota,Gyoguevara Sol Queiroz Andrade |
author_facet |
Patriota,Gyoguevara Sol Queiroz Andrade Assunção Filho,Carlos Alberto Assunção,Carlos Alberto |
author_role |
author |
author2 |
Assunção Filho,Carlos Alberto Assunção,Carlos Alberto |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Patriota,Gyoguevara Sol Queiroz Andrade Assunção Filho,Carlos Alberto Assunção,Carlos Alberto |
dc.subject.por.fl_str_mv |
Humeral fractures Fracture internal fixation Child Bone wires |
topic |
Humeral fractures Fracture internal fixation Child Bone wires |
description |
ABSTRACT OBJECTIVE: To define the best technique for the surgical treatment of supracondylar fracture of the humerus (SFH) in children, evaluating percutaneous pinning with side wires vs. cross-pinning. METHODS: Randomized controlled trials using the Medline, CAPES, and BIREME. The criteria for inclusion of articles criteria were: (1) randomized controlled trials (RCTs) comparing percutaneous wire fixation techniques, (2) SFH Gartland II B, III, and IV, and (3) children aged 1-14 years. The following were used as main variables: incidence of iatrogenic injury to the ulnar nerve and loss reduction. RESULTS: Eight studies were selected (521 patients) comparing surgical treatment with pinning in supracondylar fracture of the humerus in children Gartland II type B, III or IV. Iatrogenic injury to the ulnar nerve was greater with the cross-pinning technique, with RR 0.28 and p= 0.03, while the mini-open technique presented RR 0.14 and p= 0.2. A statistically significant greater loss of reduction in the lateral pinning was observed in FSU Gartland III and IV(p= 0.04). CONCLUSION: Based upon this meta-analysis of prospective randomized clinical trials, the following is recommended: (1) percutaneous pinning with lateral wires in supracondylar fractures of the humerus in children classified as Gartland II type B; (2) use of crossed wires for Gartland type III or IV, using the mini-open technique for the medial wire. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000400428 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000400428 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.rboe.2017.05.013 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Ortopedia v.52 n.4 2017 reponame:Revista Brasileira de Ortopedia (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Revista Brasileira de Ortopedia (Online) |
collection |
Revista Brasileira de Ortopedia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
||rbo@sbot.org.br |
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1752122360893276160 |