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

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.

Publikationsverlauf

Eingereicht: 17. Juni 2024

Angenommen: 06. November 2024

Artikel online veröffentlicht:
15. April 2025

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