Evidence map›Paper›PMID 37830685›Full record

ArticleHealthcare (Basel, Switzerland)2023

The Effect of Fracture Patterns, Pinning Configuration, Surgeon Experience and Subspecialty on Short-Term Radiological Outcomes of Pediatric Supracondylar Humeral Fractures Treated in the Prone Position: A Case-Series.

Andrea Vescio, Giovanni Carlisi, Vincenzo Roberto Macrì, Francesco Sanzo, Giuseppe Gigliotti, Daria Anna Riccelli, Giuseppe Tedesco, Michele Mercurio, Olimpio Galasso, Giorgio Gasparini and 3 more

Open access · goldAbstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 2 countries.

Andrea VescioDepartiment of Orthopaedic and Trauma Surgery, Azienda Ospedaliera Pugliese Ciaccio, 88100 Catanzaro, Italy.ORCID 0000-0002-1677-927X
Giovanni CarlisiDepartiment of Orthopaedic and Trauma Surgery, Magna Graecia University, 88110 Catanzaro, Italy.
Vincenzo Roberto MacrìDepartiment of Orthopaedic and Trauma Surgery, Azienda Ospedaliera Pugliese Ciaccio, 88100 Catanzaro, Italy.
Francesco SanzoDepartiment of Orthopaedic and Trauma Surgery, Azienda Ospedaliera Pugliese Ciaccio, 88100 Catanzaro, Italy.
Giuseppe GigliottiDepartiment of Orthopaedic and Trauma Surgery, Azienda Ospedaliera Pugliese Ciaccio, 88100 Catanzaro, Italy.
Daria Anna RiccelliDepartiment of Orthopaedic and Trauma Surgery, Azienda Ospedaliera Pugliese Ciaccio, 88100 Catanzaro, Italy.
Giuseppe TedescoDepartiment of Orthopaedic and Trauma Surgery, Azienda Ospedaliera Pugliese Ciaccio, 88100 Catanzaro, Italy.
Michele MercurioDepartiment of Orthopaedic and Trauma Surgery, Magna Graecia University, 88110 Catanzaro, Italy.ORCID 0000-0002-8742-5612
Olimpio GalassoDepartiment of Orthopaedic and Trauma Surgery, Magna Graecia University, 88110 Catanzaro, Italy.ORCID 0000-0002-4915-046X
Giorgio GaspariniDepartiment of Orthopaedic and Trauma Surgery, Magna Graecia University, 88110 Catanzaro, Italy.ORCID 0000-0002-8256-7697
Garrett R JacksonDepartment of Orthopaedic Surgery, Rush University, Chicago, IL 60612, USA.
Jorge ChahlaDepartment of Orthopaedic Surgery, Rush University, Chicago, IL 60612, USA.
Filippo FamiliariDepartiment of Orthopaedic and Trauma Surgery, Magna Graecia University, 88110 Catanzaro, Italy.ORCID 0000-0002-3453-2043
Azienda Ospedaliera Pugliese Ciaccio · ITMagna Graecia University · ITRush University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe most common treatment modality for supracondylar humerus fractures (SCHFs) in children is closed reduction and percutaneous pinning (CRPP). Nonetheless, debate persists regarding the optimal technique used. Therefore, the purpose of our study was to investigate the impact of surgeon experience, surgeon subspecialty and pin configuration on short-term radiological outcomes following CRPP of displaced SCHFs.

methodsPatients less than 14 years of age who underwent CRPP for displaced SCHFs in the prone position between January 2018 and December 2022 were analyzed. Patients were separated into subgroups based on fracture type (low vs. high sagittal), pin configuration (lateral, cross, other), number and configuration of K-wires and first operator surgical experience. The following outcome measurements were collected: postoperative Baumann angle (BA), Shaft-Condylar angle (SCA), surgical duration (SD), duration of radiation exposure (DRE) and number of clinical and radiological follow-ups (FU).

resultsA total of 44 patients with a mean age of 6 ± 2.5 years were included in the final analysis. The mean post-operative BA and SCA were 74.8° ± 4.9° and 37.7° ± 10.2°, respectively. No significant differences were found in the post-operative Baumann's angle or SCA among the subgroups. Regarding secondary outcomes, no differences were found among each subgroup regarding SD, DRE and FUs.

conclusionShort-term radiological outcomes following the treatment of SCHFs treated in the prone position are not affected by fracture patterns and pinning configuration, regardless of the surgeon's years of experience or subspecialty.

Indexed as

childrenCRPPelbowgeneral orthopedicpediatric orthopedicpinningprone positionradiological exposureradiological outcomesubspecialtysupine position

Identifiers

PMID37830685
PMCPMC10573001
OpenAlexW4387131958

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.