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VOLUME 5 , ISSUE 2 ( August, 2010 ) > List of Articles

Review

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

Juan Pretell Mazzini, Juan Rodriguez-Martin, Eva María Andres-Esteban

Keywords : Open reduction, Closed reduction, Functional outcome, Anatomical reduction, Supracondylar fracture, Children

Citation Information : Mazzini JP, Rodriguez-Martin J, Andres-Esteban EM. Does open reduction and pinning affect outcome in severely displaced supracondylar humeral fractures in children? A systematic review. 2010; 5 (2):57-64.

DOI: 10.1007/s11751-010-0091-y

License: CC BY-NC-SA 4.0

Published Online: 31-08-2010

Copyright Statement:  Copyright © 2010; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

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.


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