A Systemic Review of Adolescent Supracondylar Fractures: What Is the Surgical Treatment, Open Reduction With Internal Fixation (ORIF) or Closed Reduction With Percutaneous Pinning (CRPP)?
| Autor: | O Alshaynawi S; Surgery, King Abdulaziz University Hospital, Jeddah, SAU., Alshomrany AA; College of Medicine, University of Bisha, Bisha, SAU., Alshebromi A; Orthopedic Surgery, King Fahad Specialist Hospital, Qassim, SAU., Alsulami A; Medicine and Surgery, King Abdulaziz University Faculty of Medicine, Jeddah, SAU., Aleid FH; Orthopedic Surgery, Alfaisal University College of Medicine, Riyadh, SAU., Al Kaabi H; Surgery, College of Medicine, Abha, SAU., Alrasheed KF; Medical Student, King Saud University, Riyadh, SAU., Alotaibi R; Orthopedic Surgery, King Saud Medical City, Riyadh, SAU., Alakkas EA; Orthopedic Surgery, King Faisal Specialist Hospital & Research Centre, Jeddah, SAU. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Apr 12; Vol. 16 (4), pp. e58123. Date of Electronic Publication: 2024 Apr 12 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.58123 |
| Abstrakt: | Supracondylar humerus (SCH) fractures represent the most frequent elbow injury in young children. These fractures can be treated through either closed reduction with percutaneous pinning (CRPP) or open reduction with internal fixation (ORIF). Yet, the optimal treatment option for adolescents remains unclear. This research contrasts the results of CRPP and ORIF treatments for distal humerus fractures in adolescents. In June 2023, we conducted a comprehensive search of PUBMED, OVID MEDLINE, Web of Science, Cochrane Central Register of Controlled Trials, and various trial registries without any time restrictions. We evaluated the quality of qualifying studies using the Methodological Index for Non-randomized Studies (MINORS) and Cochrane risk measures for bias. We extracted data particularly related to patient demographics, fracture details, medical procedures followed, complications encountered, and the resulting outcomes. Out of the 488 studies identified, only four satisfied the inclusion criteria. Both methods illustrated comparable outcomes in terms of range of motion, averaging approximately 118 degrees in the ORIF group versus a span of 114 to 128 degrees in the CRPP group. The immobilization period varied, spanning 10 to 13 days for ORIF versus 24 to 29 days for CRPP. Despite this, CRPP displayed a decreased necessity for additional surgery. Notably, one study indicated a higher frequency of heterotopic ossification within the ORIF group. This review indicates that both CRPP and ORIF are effective for treating supracondylar fractures in adolescents, yielding similar results. However, CRPP has a lower need for follow-up surgery. Future studies with larger sample sizes are needed to solidify these findings, providing stronger guidance for treatment. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, O Alshaynawi et al.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|