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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2025; 60(01): s00451804496
DOI: 10.1055/s-0045-1804496
Revisão Sistemática e Metanálise

Closed Reduction and Percutaneous Pinning versus Open Reduction and Internal Fixation in Pediatric Supracondylar Humeral Fractures: A Systematic Review

Article in several languages: português | English
Febyan Febyan 
1   Departamento de Ortopedia e Traumatologia, Prof. Ngoerah General Hospital, Faculty of Medicine, Udayana University, Denpasar, Bali Surabaya, Indonésia
,
Made Agus Maharjana
1   Departamento de Ortopedia e Traumatologia, Prof. Ngoerah General Hospital, Faculty of Medicine, Udayana University, Denpasar, Bali Surabaya, Indonésia
,
Nyoman Gede Grenata Nanda Ustriyana
1   Departamento de Ortopedia e Traumatologia, Prof. Ngoerah General Hospital, Faculty of Medicine, Udayana University, Denpasar, Bali Surabaya, Indonésia
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Abstract

Objective To compare the treatment approaches of closed reduction and percutaneous pinning (CRPP) and open reduction and internal fixation (ORIF) in pediatric supracondylar humeral fractures through a systematic review of cohort and case-control studies.

Methods The CRPP and ORIF treatment modalities were evaluated using Flynn's functional criteria and Baumann angle as outcome measures.

Results The results support the clinical equivalence of CRPP ORIF regarding functional outcomes. Despite the limited number of studies and the low level of evidence of the included articles, the present study consistently reported no significant differences, which is in line with the overall results. Limited Baumann Angle data prevented conclusive comparisons in this regard. Factors such as length of hospital stay and cosmetic outcomes influence treatment decisions in pediatric supracondylar humerus fractures. A holistic approach is essential, considering clinical efficacy and patient comfort. Future research should expand the evidence base and standardize outcome assessments.

Conclusion Both CRPP and ORIF are viable treatments for pediatric supracondylar humerus fractures, particularly those classified as Gartland type III.

Keywords

bone nails - bone wires - elbow joint - humeral fractures, distal - meta-analysis

Financial Support

The authors declare that they did not receive financial support from agencies in the public, private or non-profit sectors to conduct the present study.


Work developed at the Orthopedics and Traumatology Department, Prof. Ngoerah General Hospital, Faculty of Medicine, Udayana University, Denpasar, Bali Surabaya, Indonesia.




Publication History

Received: 17 June 2024

Accepted: 06 November 2024

Article published online:
15 April 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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Bibliographical Record
Febyan Febyan, Made Agus Maharjana, Nyoman Gede Grenata Nanda Ustriyana. Redução fechada e fixação percutânea versus redução aberta e fixação interna em fraturas pediátricas supracondilares do úmero: Uma revisão sistemática. Rev Bras Ortop (Sao Paulo) 2025; 60: s00451804496.
DOI: 10.1055/s-0045-1804496
 

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