Abstract
BackgroundThe objective of this meta-analysis was to illustrate the clinical outcomes and safety of two different managements for supracondylar humeral fractures in children.MethodsIn January 2018, a systematic computer-based search was conducted in PubMed, EMBASE, Web of Science, Cochrane Database of Systematic Reviews, and Google database. Data on patients prepared for two different managements for supracondylar humeral fractures in children were retrieved. The primary endpoint was the cosmetic and clinical outcomes based on the criteria of Flynn, ulnar nerve injury, and the occurrence of infection. After testing for publication bias and heterogeneity between studies, data were aggregated for random-effects models when necessary.ResultsSix clinical studies with 581 patients were ultimately included in the meta-analysis. There was no significant difference between the closed reduction and percutaneous cross-pinning, and open reduction and internal fixation in terms of the cosmetic and clinical outcomes based on the criteria of Flynn, ulnar nerve injury, and the occurrence of infection (P > 0.05).ConclusionsClosed reduction and percutaneous pinning, and open reduction and internal fixation of supracondylar humeral fractures in children result in similar construct stability and functional outcome. More high quality randomized controlled trials are needed to identify this conclusion.
Highlights
The objective of this meta-analysis was to illustrate the clinical outcomes and safety of two different managements for supracondylar humeral fractures in children
Inclusion criteria and study selection Patients: patients was diagnose as supracondylar fracture of the humerus surgery; intervention: closed reduction and percutaneous pinning as an intervention group; comparison: open reduction and internal fixation as a comparison group; outcomes: cosmetic and clinical outcomes based on the criteria of Flynn, ulnar nerve injury, and the occurrence of infection; study design: randomized controlled trials (RCTs) and non-RCTs
1 cosmetic outcomes based on the criteria of Flynn, 2 clinical outcomes based on the criteria of Flynn, 3 ulnar nerve injury, 4 the occurrence of infection, PCTs prospective controlled trials
Summary
The objective of this meta-analysis was to illustrate the clinical outcomes and safety of two different managements for supracondylar humeral fractures in children. The occurrence of supracondylar fracture of the humerus account for 55 to 75% of patients with elbow fractures [3, 4] For treatment of this fracture, closed reduction and percutaneous pinning, and open reduction and internal fixation were two common managements for supracondylar fracture of the humerus [5]. It is necessary to evaluate the efficacy and safety of two different managements for supracondylar humeral fractures in children This meta-analysis aimed to illustrate the clinical outcomes and safety of two different managements for supracondylar humeral fractures in children. We hypothesize that closed reduction and percutaneous pinning, and open reduction and internal fixation has similar clinical result for supracondylar humeral fractures in children
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