Does open reduction and pinning affect outcome in severely displaced supracondylar humeral fractures in children? A systematic review

Supracondylar fracture of the humerus is the second most common fracture in children (16.6%) and the most common elbow fracture. These fractures are classified using the modified Gartland classification. Type III and type IV are considered to be totally displaced. A totally displaced fracture is one...

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Bibliographic Details
Published in:Strategies in trauma and limb reconstruction 2010-08, Vol.5 (2), p.57-64
Main Authors: Mazzini, Juan Pretell, Rodriguez-Martin, Juan, Andres-Esteban, Eva María
Format: Article
Language:English
Subjects:
Medicine
Medicine & Public Health
Orthopedics
Review
Surgical Orthopedics
Traumatic Surgery
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Summary:Supracondylar fracture of the humerus is the second most common fracture in children (16.6%) and the most common elbow fracture. These fractures are classified using the modified Gartland classification. Type III and type IV are considered to be totally displaced. A totally displaced fracture is one of the most difficult fractures to manage and may lead to proceeding to open procedures to achieve acceptable reductions. Many surgeons are concerned about its outcome compared to closed procedures. We therefore performed a systematic review of the literature to investigate the existing evidence regarding functional and radiological outcomes as well as postsurgical complications of primary open compared to primary closed reduction.
ISSN:1828-8936
1828-8928
DOI:10.1007/s11751-010-0091-y