ArticleBMC musculoskeletal disorders2022
Predictive factors for open reduction of flexion-type supracondylar fracture of humerus in children.
Article in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed, 18 citations in OpenAlex.
- Pediatric Supracondylar Humerus Fracture Pinning: Are We Leaving Unnecessary Waste and Cost on the Table?Journal of the Pediatric Orthopaedic Society of North America · 2026Article
- Factors associated with open reduction of pediatric type III supracondylar humerus fractures.Journal of children's orthopaedics · 2026Article
- Open reduction can be a reasonable, safe and effective choice in complex paediatric supracondylar humeral fractures operative treatment.World journal of orthopedics · 2025Article
- Modern Treatment of Supracondylar Humeral Fractures in Children.Children (Basel, Switzerland) · 2025Review
- K-Hammer percutaneous fixation: a novel technique for preventing iatrogenic ulnar nerve injury in pediatric supracondylar humeral fractures.Frontiers in pediatrics · 2025Article
- The first analysis of a multicentre paediatric supracondylar humerus fracture (SCHF) registry by fracture type.Archives of orthopaedic and trauma surgery · 2024Article
- Our experience with a modified prying-up technique for closed reduction of irreducible supracondylar humeral fractures.Scientific reports · 2024Article
- Factors Associated with Failed Closed Reduction in Flexion and Gartland Type III Pediatric Supracondylar Humerus Fractures.Journal of the Pediatric Orthopaedic Society of North America · 2024Article
- Minimally invasive techniques utilizing the "Joy Stick" method for managing irreducible flexion-type supracondylar fractures of the humerus in older children.Journal of orthopaedic surgery and research · 2024Article
- Management of Pediatric Elbow Fractures and Dislocations.Children (Basel, Switzerland) · 2024Review
- Predictors Associated with the Need for Open Reduction of Pediatric Supracondylar Humerus Fractures: A Meta-analysis of the Recent Literature.JB & JS open accessReview
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe incidence of open reduction and internal fixation (ORIF) in flexion-type supracondylar humerus fractures (SCHF) in children is significantly higher than that of extension-type fractures. This study aimed to identify risk factors for ORIF in flexion-type SCHF.
methodsOne hundred seventy-one patients with Wilkins type III flexion-type SCHF from January 2012 to December 2021 were retrospectively enrolled in a tertiary paediatric hospital. Patients were divided into ORIF group versus closed reduction and internal fixation (CRIF) group. Then, patients data of age, sex, injury side, obesity, deviation of displacement, fracture level, rotation, nerve injury, and delay from injury to surgery were reviewed. Univariate analysis and multivariate logistic regression were used to identify independent risk factors and odds ratios (OR) of ORIF.
resultsOverall, 171 children with type III flexion-type SCHF were analyzed (average aged 7.9 ± 2.8 years). Displacement was lateral in 151 cases, medial in 20. 20 cases had combined ulnar nerve injury. The failed closed reduction rate was 20%. Univariate analysis indicated age, distal fracture fragment rotation, and ulnar nerve injury were significantly associated with ORIF. (P = 0.047, P = 0.009, and P = 0.001, respectively). Multivariate logistic regression analysis showed that distal fracture fragment rotation (OR, 3.3; 95%CI:1.1-9.5; P = 0.028) and ulnar nerve injury (OR, 6.4; 95%CI:2.3-18.3; P = 0.001) were independent risk factors; however, the age was not an independent one (OR, 1.5; 95%CI:0.6-3.5; P = 0.397) for ORIF in the Wilkins type III flexion-type SCHF.
conclusionDistal fracture fragment malrotation on initial x-rays and ulnar nerve injury were significant risk factors for ORIF in Wilkins type III flexion-type SCHF. Surgeons should prepare tourniquets or other open reduction instruments when treating these types of fractures. LEVEL OF EVIDENCE: Level IV.
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