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

Febyan Febyan; Made Agus Maharjana; Nyoman Gede Grenata Nanda Ustriyana

doi:10.1055/s-0045-1804496

Revista Brasileira de Ortopedia, Table of Contents

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

Authors

Febyan Febyan

¹Departamento de Ortopedia e Traumatologia, Prof. Ngoerah General Hospital, Faculty of Medicine, Udayana University, Denpasar, Bali Surabaya, Indonésia
Made Agus Maharjana

¹Departamento de Ortopedia e Traumatologia, Prof. Ngoerah General Hospital, Faculty of Medicine, Udayana University, Denpasar, Bali Surabaya, Indonésia
Nyoman Gede Grenata Nanda Ustriyana

¹Departamento de Ortopedia e Traumatologia, Prof. Ngoerah General Hospital, Faculty of Medicine, Udayana University, Denpasar, Bali Surabaya, Indonésia

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

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

Full Text

References

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