Time of surgery and surgeon level in supracondylar humerus fractures in pediatric patients: A retrospective study

Table 4 Previous studies assessing effect of surgeon level on outcomes of pediatric supracondylar humeral fractures

Ref.	Sample size	Groups	Results
Fisher et al[23], 2021	231 patients who underwent CRPP for SCHF	Pediatric orthopaedic fellowship trained vs other orthopaedic surgeons	Shorter operative and fluoroscopy time; No difference in complications
Osateerakun et al[32], 2019	87 Gartland type II and III SCHF	Pediatric orthopaedic fellowship trained vs other orthopaedic surgeons	Higher risk of complications in Gartland type III when not performed by pediatric orthopaedic surgeon; Overall complication rate and acceptable alignment were similar
Saarinen et al[17], 2019	108 operatively treated SCHF	Residents, pediatric surgeons and orthopaedic surgeons	Orthopaedic surgeons had the least complications and inadequate reductions; Residents had less complications and inadequate reductions when compared to pediatric surgeons
Pesenti et al[33], 2018	236 Gartland type III SCHF	Surgeons with < 1 yr vs > 1 yr experience	Less experienced had longer operative time; No difference in complication and malalignment rate
Tuomilehto et al[34], 2018	210 operatively treated SCHF	Consultants vs registrars	Higher complications and poorer outcomes in surgeries done by registrars
Liu et al[22], 2011	654 operatively treated SCHF	Fellows progression through fellowship training	No difference in complications and malunions throughout the fellowship year; Spike of malreductions at case 7 which improves at case 15
Padman et al[21], 2010	71 Gartland type II and III SCHF	Consultants vs trainees	Poorer outcome and more complications in surgeries performed by trainees without consultant supervision
Farley et al[24], 2008	444 operatively treated SCHF	Pediatric orthopaedic surgeon vs non-pediatric orthopaedic surgeon	No difference in complication rate and outcomes

CRPP: Closed reduction percutaneous pinning; SCHF: Supracondylar humeral fractures.