SynthesisBMC musculoskeletal disorders2026
The role of autologous venous grafts in the management of vascular injuries associated with paediatric supracondylar humeral fractures: a systematic review.
Synthesis in BMC musculoskeletal disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSupracondylar humeral fractures (SHF) are among the most common paediatric elbow injuries. While the majority are managed successfully with reduction and fixation, a subset presents with vascular compromise requiring surgical intervention. Autologous vein grafting is a recognised technique for arterial reconstruction in adults; however, its long-term efficacy and safety in children remain unclear. This systematic review investigates the patency, complication rates, and functional outcomes of autologous venous grafts used in the management of paediatric SHF with vascular injury.
methodsThis study adhered to PRISMA and Cochrane guidelines and was prospectively registered on PROSPERO (CRD42024553679). A systematic search was conducted across PubMed, MEDLINE, Embase, Cochrane, and Web of Science. Studies were included if they reported clinical, ultrasonographic, or functional outcomes of paediatric patients (< 18 years) undergoing autologous venous grafting following SHF. Risk of bias was assessed using a modified ROBINS-I, and data synthesis was performed using random effects meta-analysis.
resultsFive studies comprising 21 paediatric patients were included. The mean age was 6.1 years with an average follow-up of 7.0 years. All patients underwent brachial artery reconstruction using either a basilic or saphenous vein graft. All grafts remained patent at final follow-up, with 90.5% confirmed via ultrasonography. Complications occurred in 95% of patients, however minor vessel ectasia predominated. Aneurysm (9.9%), thrombus (3.8%), and calcification (8.3%) were rare and did not require further surgery. No cases of ischemic contracture were reported. Subgroup analysis showed no significant difference in outcomes between graft types.
conclusionsAutologous venous grafting is an effective strategy for vascular reconstruction in paediatric supracondylar humeral fractures, demonstrating high patency and low long-term morbidity. However, the high incidence of vessel ectasia and wide variation in outcome reporting underscore the need for standardised follow-up and further research. LEVEL OF EVIDENCE: Systematic review of Level IV studies Level of Evidence III.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.