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A systematic review and meta-analysis of two different managements for supracondylar humeral fractures in children
BACKGROUND: The objective of this meta-analysis was to illustrate the clinical outcomes and safety of two different managements for supracondylar humeral fractures in children. METHODS: In January 2018, a systematic computer-based search was conducted in PubMed, EMBASE, Web of Science, Cochrane Data...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5992695/ https://www.ncbi.nlm.nih.gov/pubmed/29880019 http://dx.doi.org/10.1186/s13018-018-0806-1 |
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author | Lin-Guo Zhang, Xue-Ning Yang, Jian-Ping Wang, Zhi Qi, Yang Shan-Zhu Meng, Xiang-Hong |
author_facet | Lin-Guo Zhang, Xue-Ning Yang, Jian-Ping Wang, Zhi Qi, Yang Shan-Zhu Meng, Xiang-Hong |
author_sort | Lin-Guo |
collection | PubMed |
description | BACKGROUND: The objective of this meta-analysis was to illustrate the clinical outcomes and safety of two different managements for supracondylar humeral fractures in children. METHODS: In 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. RESULTS: Six 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). CONCLUSIONS: Closed 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. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13018-018-0806-1) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-5992695 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-59926952018-06-21 A systematic review and meta-analysis of two different managements for supracondylar humeral fractures in children Lin-Guo Zhang, Xue-Ning Yang, Jian-Ping Wang, Zhi Qi, Yang Shan-Zhu Meng, Xiang-Hong J Orthop Surg Res Research Article BACKGROUND: The objective of this meta-analysis was to illustrate the clinical outcomes and safety of two different managements for supracondylar humeral fractures in children. METHODS: In 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. RESULTS: Six 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). CONCLUSIONS: Closed 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. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13018-018-0806-1) contains supplementary material, which is available to authorized users. BioMed Central 2018-06-07 /pmc/articles/PMC5992695/ /pubmed/29880019 http://dx.doi.org/10.1186/s13018-018-0806-1 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Lin-Guo Zhang, Xue-Ning Yang, Jian-Ping Wang, Zhi Qi, Yang Shan-Zhu Meng, Xiang-Hong A systematic review and meta-analysis of two different managements for supracondylar humeral fractures in children |
title | A systematic review and meta-analysis of two different managements for supracondylar humeral fractures in children |
title_full | A systematic review and meta-analysis of two different managements for supracondylar humeral fractures in children |
title_fullStr | A systematic review and meta-analysis of two different managements for supracondylar humeral fractures in children |
title_full_unstemmed | A systematic review and meta-analysis of two different managements for supracondylar humeral fractures in children |
title_short | A systematic review and meta-analysis of two different managements for supracondylar humeral fractures in children |
title_sort | systematic review and meta-analysis of two different managements for supracondylar humeral fractures in children |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5992695/ https://www.ncbi.nlm.nih.gov/pubmed/29880019 http://dx.doi.org/10.1186/s13018-018-0806-1 |
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