Conservative management of displaced paediatric supracondylar fractures: a systematic review

Yeomans, Daniel, Graham, Simon, Mkandawire, Nyengo C, Harrison, William J and Perry, Daniel C (2018) 'Conservative management of displaced paediatric supracondylar fractures: a systematic review'. Tropical Doctor, Vol 48, Issue 4, pp. 359-365.

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Abstract

In low-income countries, where surgical expertise and resources are limited, displaced supracondylar fractures of the distal humerus are routinely managed with traction or closed reduction and casting. This is in contrast to high-income nations, where percutaneous K-wire fixation forms the mainstay of treatment. The aim of our study is to present the published evidence regarding the outcome of conservatively managed displaced supracondylar fractures in children. A systematic review of the literature was performed identifying 46 studies evaluating the outcome of displaced supracondylar fractures managed non-operatively. Our results show management by traction is equivalent to percutaneous pinning, whereas outcomes following closed reduction and casting were inconsistent. Traction therefore remains a viable option in low- and middle-income countries (LMICs). However, at present there are few data from LMICs, limiting the transferability of our conclusions.

Item Type:	Article
Subjects:	WE Musculoskeletal System > WE 20 Research (General) WS Pediatrics > WS 100 General works WS Pediatrics > WS 20 Research (General)
Faculty: Department:	Clinical Sciences & International Health > Clinical Sciences Department Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI):	https://doi.org/10.1177/0049475518788474
SWORD Depositor:	JISC Pubrouter
Depositing User:	Stacy Murtagh
Date Deposited:	13 Sep 2018 14:40
Last Modified:	23 Jan 2019 14:32
URI:	https://archive.lstmed.ac.uk/id/eprint/9270

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