Open reduction vs closed reduction and pinning in treatment of typeⅢ supracondylar humeral fractures in children:a meta-analysis

VernacularTitle:闭合复位克氏针内固定和切开复位克氏针内固定治疗儿童GartlandⅢ型肱骨髁上骨折的疗效对比meta分析
Author: Detao MA ¹ ; Baoming YUAN ; Ziyan ZHANG ; Liheng KANG ; Mingyu CUI ; Dankai WU
Author Information

1. 吉林大学第二医院创伤外科
Keywords: Humeral Fractures; Internal Fixators; Open reduction
From: Chinese Journal of Postgraduates of Medicine 2017;40(12):1103-1108
CountryChina
Language:Chinese
Abstract: Objective To assess the effects of two different managements of typeⅢsupracondyla humeral fractures in children: open reduction vs closed reduction and pinning. Methods Relevant articles were identified by using several database (Pubmed Medline, EMbase, cochranelibrary, CBM, CNKI, wanfang data). Control studies comparing closed reduction with percutaneous pinning and open reduction with pinning were analyzed.Results There was no significant difference in the carrying angle according to criteria of Flynn(OR=0.92,P=0.760).There was no significant difference in the functional results according to criteria of Flynn(OR=1.77, P=0.557).There was no significant difference in the ulnar nerve injury(OR=1.10,P=0.332).However, there was a obvious tendency to excellent and good results in the closed reduction group. Conclusions We recommend that closed reduction with percutaneous pinning should be performed first unless some special circumstances are present, for example:complex fractures and failed closed reduction.