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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

Redução fechada e fixação percutânea versus redução aberta e fixação interna em fraturas pediátricas supracondilares do úmero: Uma revisão sistemática

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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Resumo

Objetivo Comparar as abordagens terapêuticas de redução fechada com fixação percutânea (closed reduction and percutaneous pinning, CRPP, em inglês) e redução aberta com fixação interna (open reduction and internal fixation, ORIF, em inglês) em fraturas supracondilares do úmero em pacientes pediátricos por meio de uma revisão sistemática de estudos de coorte e caso-controle.

Métodos As modalidades de tratamento CRPP e ORIF foram avaliadas usando os critérios funcionais de Flynn e o ângulo de Baumann como medidas de desfechos.

Resultados Os resultados deste estudo apoiam a equivalência clínica da CRPP e da ORIF em relação aos desfechos funcionais. Apesar do número limitado de estudos e do baixo nível de evidência dos artigos incluídos, este estudo não relatou diferenças significativas, o que condiz com os resultados gerais. Dados limitados sobre o ângulo de Baumann impediram comparações conclusivas a este respeito. Fatores como duração da internação hospitalar e resultados estéticos influenciaram as decisões de tratamento em fraturas supracondilares do úmero em pacientes pediátricos. Uma abordagem holística é essencial, considerando tanto a eficácia clínica quanto o conforto do paciente. Pesquisas futuras devem expandir a base de evidências e padronizar as avaliações de desfechos.

Conclusão A CRPP e a ORIF são tratamentos viáveis para fraturas supracondilares do úmero em pacientes pediátricos, particularmente as classificadas como tipo III de Gartland.

Palavras-chave

articulação do cotovelo - fios ortopédicos - fraturas distais do úmero - metanálise - pinos ortopédicos

Suporte Financeiro

Os autores declaram que não receberam suporte financeiro de agências dos setores público, privado ou sem fins lucrativos para a realização deste estudo.


Estudo realizado no Departamento de Ortopedia e Traumatologia, Prof. Ngoerah General Hospital, Faculty of Medicine, Udayana University, Denpasar, Bali Surabaya, Indonésia.




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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