ReviewChildren (Basel, Switzerland)2022
Pediatric Supracondylar Humerus Fractures: Should We Avoid Surgery during After-Hours?
Review in Children (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interventions for treating supracondylar elbow fractures in children.The Cochrane database of systematic reviews · 2022Pooled it
- Operative Management and Time to Procedure for Transferred versus Direct-arrival Supracondylar Humerus Fractures at a Non-trauma-designated Children's Hospital.Journal of the Pediatric Orthopaedic Society of North America · 2026Article
- Treatment and outcomes of fractures in children: a registry-based cohort study of 10,144 fractures.Acta orthopaedica · 2026Article
- Open supracondylar humerus fractures in children: Associated injuries and clinical outcomes.Journal of children's orthopaedics · 2026Article
- Surgical Timing and Approach in Gartland Type III Supracondylar Humerus Fractures in Children: Does After-Hours Surgery Influence Clinical and Radiological Outcomes? A Retrospective Cohort Study.Journal of clinical medicine · 2026Article
- Pediatric Supracondylar Humerus Fracture: When Should We Surgically Treat? A Case-Series.Journal of clinical medicine · 2025Article
- Efficacy of minimally invasive small-incision-assisted reduction with percutaneous Kirschner wire fixation in pediatric supracondylar humerus fractures.American journal of translational research · 2025Article
- Radiographic Evaluation of the Surgical Treatment of Pediatric Supracondylar Humeral Fractures.Revista brasileira de ortopedia · 2024Article
- Anterior Versus Posterior Surgical Approaches to Pediatric Supracondylar Humerus Fracture.The archives of bone and joint surgery · 2024Article
- Fully displaced pediatric supracondylar humerus fractures: Which ones need to go at night?Journal of children's orthopaedics · 2022Article
- Advances in Pediatric Fracture Diagnosis and Treatment Are Numerous but Great Challenges Remain.Children (Basel, Switzerland) · 2022Article
- Retrospective Mid-Term Follow-Up of Posttraumatic and Iatrogenic Neurovascular Complications in Surgically Treated Paediatric Patients with Distal Humerus Fracture.Children (Basel, Switzerland) · 2022Article
- Pediatric Fractures Are Challenging from Head to Toe.Children (Basel, Switzerland) · 2022Article
- Supracondylar Fractures of the Humerus: Association of Neurovascular Lesions with Degree of Fracture Displacement in Children-A Retrospective Study.Children (Basel, Switzerland) · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Pediatric supracondylar humerus fractures occur frequently. Often, the decision has to be made whether to operate immediately, e.g., during after-hours, or to postpone until office hours. However, the effect of timing of surgery on radiological and clinical outcomes is unclear. This literature review with the PICO methodology found six relevant articles that compared the results of office-hours and after-hours surgery for pediatric supracondylar humerus fractures. The surgical outcomes of both groups in these studies were assessed. One of the articles found a significantly higher "poor fixation rate" in the after-hours group, compared with office hours. Another article found more malunions in the "night" subgroup vs. the "all groups but night" group. A third article found a higher risk of postoperative paresthesia in the "late night" subgroup vs. the "day" group. Lastly, one article reported increased consultant attendance and decreased operative time when postponing to office hours more often. No differences were reported for functional outcomes in any of the articles. Consequently, no strong risks or benefits from surgical treatment during office hours vs. after-hours were found. It appears safe to postpone surgery to office hours if circumstances are not optimal for acute surgery, and if there is no medical contraindication. However, research with a higher level-of-evidence is needed make more definite recommendations.
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