Surgical Interventions for the Treatment of Supracondylar Humerus Fractures in Children: Protocol of a Systematic Review

Detalhes bibliográficos
Autor(a) principal: Carrazzone, Oreste Lemos [UNIFESP]
Data de Publicação: 2017
Outros Autores: Belloti, Joao Carlos [UNIFESP], Matsunaga, Fabio Teruo [UNIFESP], Barbachan Mansur, Nacime Salomao [UNIFESP], Matsumoto, Marcelo Hide [UNIFESP], Faloppa, Flavio [UNIFESP], Sugawara Tamaoki, Marcel Jun [UNIFESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: https://repositorio.unifesp.br/handle/11600/55434
http://dx.doi.org/10.2196/resprot.8343
Resumo: Background: The treatment of supracondylar humerus fracture in children (SHFC) is associated with complications such as functional deficit, residual deformity, and iatrogenic neurological damage. The standard treatment is closed reduction and percutaneous Kirschner wire fixation with different configurations. Despite this fact, there is still no consensus on the most effective technique for the treatment of these fractures. Objective: The aim of this systematic review will be to evaluate the effect of surgical interventions on the treatment of Gartland type II and III SHFC by assessing function, complications, and error as primary outcomes. Clinical outcomes such as range of motion and pain and radiographic outcomes will also be judged. Methods: A systematic review of randomized controlled trials or quasi-randomized controlled trials evaluating the surgical treatment of SHFC will be carried out in the Cochrane Central Register of Controlled Trials, PubMed, Literatura Latino-Americana e do Caribe em Ciencias da Saude, and Excerpta Medica Database. The search will also occur at ongoing and recently completed clinical trials in selected databases. Data management and extraction will be performed using a data withdrawal form and by analyzing the following: study method characteristics, participant characteristics, intervention characteristics, results, methodological domains, and risk of bias. To assess the risk of bias of the included trials, the Cochrane Risk of Bias Tool will be used. Dichotomous outcome data will be analyzed as risk ratios, and continuous outcome data will be expressed as mean differences, both with 95% confidence intervals. Also, whenever possible, subgroup analysis, sensitivity analysis, and assessment of heterogeneity will be performed. Results: Following the publication of this protocol, searches will be run and included studies will be deeply analyzed. We hope to obtain final results in the next few months and have the final paper published by the end of 2018. This study was funded by a government-based noncommercial agency, Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP). Conclusions: This study may provide surgical treatment effects evidence for SHFC. The results will assist clinical practice by demonstrating the effectiveness and potential complications of these interventions and might serve as a reference for future clinical trials on the topic.
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spelling Carrazzone, Oreste Lemos [UNIFESP]Belloti, Joao Carlos [UNIFESP]Matsunaga, Fabio Teruo [UNIFESP]Barbachan Mansur, Nacime Salomao [UNIFESP]Matsumoto, Marcelo Hide [UNIFESP]Faloppa, Flavio [UNIFESP]Sugawara Tamaoki, Marcel Jun [UNIFESP]2020-07-17T14:03:29Z2020-07-17T14:03:29Z2017Jmir Research Protocols. Toronto, v. 6, n. 11, p. -, 2017.1929-0748https://repositorio.unifesp.br/handle/11600/55434http://dx.doi.org/10.2196/resprot.8343WOS000415971800009.pdf10.2196/resprot.8343WOS:000415971800009Background: The treatment of supracondylar humerus fracture in children (SHFC) is associated with complications such as functional deficit, residual deformity, and iatrogenic neurological damage. The standard treatment is closed reduction and percutaneous Kirschner wire fixation with different configurations. Despite this fact, there is still no consensus on the most effective technique for the treatment of these fractures. Objective: The aim of this systematic review will be to evaluate the effect of surgical interventions on the treatment of Gartland type II and III SHFC by assessing function, complications, and error as primary outcomes. Clinical outcomes such as range of motion and pain and radiographic outcomes will also be judged. Methods: A systematic review of randomized controlled trials or quasi-randomized controlled trials evaluating the surgical treatment of SHFC will be carried out in the Cochrane Central Register of Controlled Trials, PubMed, Literatura Latino-Americana e do Caribe em Ciencias da Saude, and Excerpta Medica Database. The search will also occur at ongoing and recently completed clinical trials in selected databases. Data management and extraction will be performed using a data withdrawal form and by analyzing the following: study method characteristics, participant characteristics, intervention characteristics, results, methodological domains, and risk of bias. To assess the risk of bias of the included trials, the Cochrane Risk of Bias Tool will be used. Dichotomous outcome data will be analyzed as risk ratios, and continuous outcome data will be expressed as mean differences, both with 95% confidence intervals. Also, whenever possible, subgroup analysis, sensitivity analysis, and assessment of heterogeneity will be performed. Results: Following the publication of this protocol, searches will be run and included studies will be deeply analyzed. We hope to obtain final results in the next few months and have the final paper published by the end of 2018. This study was funded by a government-based noncommercial agency, Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP). Conclusions: This study may provide surgical treatment effects evidence for SHFC. The results will assist clinical practice by demonstrating the effectiveness and potential complications of these interventions and might serve as a reference for future clinical trials on the topic.Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP)Univ Fed Sao Paulo, Escola Paulista Med, Dept Orthoped & Traumatol, Rua Borges Lagoa 783-5o, Sao Paulo, BrazilUniv Fed Sao Paulo, Escola Paulista Med, Dept Orthoped & Traumatol, Rua Borges Lagoa 783-5o, Sao Paulo, BrazilWeb of Science-engJmir Publications, IncJmir Research Protocolssupracondylar humerus fractureChildrensurgical treatmentsystematic reviewSurgical Interventions for the Treatment of Supracondylar Humerus Fractures in Children: Protocol of a Systematic Reviewinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleToronto611info:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPORIGINALWOS000415971800009.pdfapplication/pdf6141849${dspace.ui.url}/bitstream/11600/55434/1/WOS000415971800009.pdf6925fedbd04a9295b117dec09f80717eMD51open access11600/554342022-09-19 22:26:23.593open accessoai:repositorio.unifesp.br:11600/55434Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652023-05-25T12:36:04.379248Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.en.fl_str_mv Surgical Interventions for the Treatment of Supracondylar Humerus Fractures in Children: Protocol of a Systematic Review
title Surgical Interventions for the Treatment of Supracondylar Humerus Fractures in Children: Protocol of a Systematic Review
spellingShingle Surgical Interventions for the Treatment of Supracondylar Humerus Fractures in Children: Protocol of a Systematic Review
Carrazzone, Oreste Lemos [UNIFESP]
supracondylar humerus fracture
Children
surgical treatment
systematic review
title_short Surgical Interventions for the Treatment of Supracondylar Humerus Fractures in Children: Protocol of a Systematic Review
title_full Surgical Interventions for the Treatment of Supracondylar Humerus Fractures in Children: Protocol of a Systematic Review
title_fullStr Surgical Interventions for the Treatment of Supracondylar Humerus Fractures in Children: Protocol of a Systematic Review
title_full_unstemmed Surgical Interventions for the Treatment of Supracondylar Humerus Fractures in Children: Protocol of a Systematic Review
title_sort Surgical Interventions for the Treatment of Supracondylar Humerus Fractures in Children: Protocol of a Systematic Review
author Carrazzone, Oreste Lemos [UNIFESP]
author_facet Carrazzone, Oreste Lemos [UNIFESP]
Belloti, Joao Carlos [UNIFESP]
Matsunaga, Fabio Teruo [UNIFESP]
Barbachan Mansur, Nacime Salomao [UNIFESP]
Matsumoto, Marcelo Hide [UNIFESP]
Faloppa, Flavio [UNIFESP]
Sugawara Tamaoki, Marcel Jun [UNIFESP]
author_role author
author2 Belloti, Joao Carlos [UNIFESP]
Matsunaga, Fabio Teruo [UNIFESP]
Barbachan Mansur, Nacime Salomao [UNIFESP]
Matsumoto, Marcelo Hide [UNIFESP]
Faloppa, Flavio [UNIFESP]
Sugawara Tamaoki, Marcel Jun [UNIFESP]
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Carrazzone, Oreste Lemos [UNIFESP]
Belloti, Joao Carlos [UNIFESP]
Matsunaga, Fabio Teruo [UNIFESP]
Barbachan Mansur, Nacime Salomao [UNIFESP]
Matsumoto, Marcelo Hide [UNIFESP]
Faloppa, Flavio [UNIFESP]
Sugawara Tamaoki, Marcel Jun [UNIFESP]
dc.subject.eng.fl_str_mv supracondylar humerus fracture
Children
surgical treatment
systematic review
topic supracondylar humerus fracture
Children
surgical treatment
systematic review
description Background: The treatment of supracondylar humerus fracture in children (SHFC) is associated with complications such as functional deficit, residual deformity, and iatrogenic neurological damage. The standard treatment is closed reduction and percutaneous Kirschner wire fixation with different configurations. Despite this fact, there is still no consensus on the most effective technique for the treatment of these fractures. Objective: The aim of this systematic review will be to evaluate the effect of surgical interventions on the treatment of Gartland type II and III SHFC by assessing function, complications, and error as primary outcomes. Clinical outcomes such as range of motion and pain and radiographic outcomes will also be judged. Methods: A systematic review of randomized controlled trials or quasi-randomized controlled trials evaluating the surgical treatment of SHFC will be carried out in the Cochrane Central Register of Controlled Trials, PubMed, Literatura Latino-Americana e do Caribe em Ciencias da Saude, and Excerpta Medica Database. The search will also occur at ongoing and recently completed clinical trials in selected databases. Data management and extraction will be performed using a data withdrawal form and by analyzing the following: study method characteristics, participant characteristics, intervention characteristics, results, methodological domains, and risk of bias. To assess the risk of bias of the included trials, the Cochrane Risk of Bias Tool will be used. Dichotomous outcome data will be analyzed as risk ratios, and continuous outcome data will be expressed as mean differences, both with 95% confidence intervals. Also, whenever possible, subgroup analysis, sensitivity analysis, and assessment of heterogeneity will be performed. Results: Following the publication of this protocol, searches will be run and included studies will be deeply analyzed. We hope to obtain final results in the next few months and have the final paper published by the end of 2018. This study was funded by a government-based noncommercial agency, Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP). Conclusions: This study may provide surgical treatment effects evidence for SHFC. The results will assist clinical practice by demonstrating the effectiveness and potential complications of these interventions and might serve as a reference for future clinical trials on the topic.
publishDate 2017
dc.date.issued.fl_str_mv 2017
dc.date.accessioned.fl_str_mv 2020-07-17T14:03:29Z
dc.date.available.fl_str_mv 2020-07-17T14:03:29Z
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dc.identifier.citation.fl_str_mv Jmir Research Protocols. Toronto, v. 6, n. 11, p. -, 2017.
dc.identifier.uri.fl_str_mv https://repositorio.unifesp.br/handle/11600/55434
http://dx.doi.org/10.2196/resprot.8343
dc.identifier.issn.none.fl_str_mv 1929-0748
dc.identifier.file.none.fl_str_mv WOS000415971800009.pdf
dc.identifier.doi.none.fl_str_mv 10.2196/resprot.8343
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identifier_str_mv Jmir Research Protocols. Toronto, v. 6, n. 11, p. -, 2017.
1929-0748
WOS000415971800009.pdf
10.2196/resprot.8343
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http://dx.doi.org/10.2196/resprot.8343
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