Radaideh AM, Rusan M, Obeidat O, Al-Nusair J, Albustami IS, Mohaidat ZM, Sunallah AW. Functional and radiological outcomes of different pin configuration for displaced pediatric supracondylar humeral fracture: A retrospective cohort study. World J Orthop 2022; 13(3): 250-258 [PMID: 35317252 DOI: 10.5312/wjo.v13.i3.250]
Corresponding Author of This Article
Ahmad M Radaideh, MD, Doctor, Reader (Associate Professor), Department of Special Surgery, Orthopaedic Division, Faculty of Medicine, Jordan University of Science and technology, P.O. Box 3030, Irbid 22110, Jordan. ahmadmr1970@yahoo.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Retrospective Cohort Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. Mar 18, 2022; 13(3): 250-258 Published online Mar 18, 2022. doi: 10.5312/wjo.v13.i3.250
Functional and radiological outcomes of different pin configuration for displaced pediatric supracondylar humeral fracture: A retrospective cohort study
Ahmad M Radaideh, Mohammad Rusan, Omar Obeidat, Jowan Al-Nusair, Iyad S Albustami, Ziyad M Mohaidat, Abdulkarim W Sunallah
Ahmad M Radaideh, Mohammad Rusan, Ziyad M Mohaidat, Abdulkarim W Sunallah, Department of Special Surgery, Orthopaedic Division, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan
Omar Obeidat, Jowan Al-Nusair, Iyad S Albustami, School of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan
Author contributions: Radaideh AM, Rusan M, Mohaidat ZM, Sunallah AW, and Obeidat O designed the research; Radaideh AM, Rusan M, Mohaidat ZM, Sunallah AW, Obeidat O, Al-Nusair J, and Albustami IS performed the research; Obeidat O analyzed the data; Obeidat O, Al-Nusair J, and Albustami IS wrote the paper.
Institutional review board statement: This work was approved by the institutional review board (IRB) committee of King Abdullah University Hospital (KAUH).
Conflict-of-interest statement: Radaideh, Rusan, Obeidat, AL-Nusair, Albustami, Mohaidat and Sunallah declare that they have no conflict of interest.
Data sharing statement: The original anonymous dataset is available on request from the corresponding author at ahmadmr1970@yahoo.com.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ahmad M Radaideh, MD, Doctor, Reader (Associate Professor), Department of Special Surgery, Orthopaedic Division, Faculty of Medicine, Jordan University of Science and technology, P.O. Box 3030, Irbid 22110, Jordan. ahmadmr1970@yahoo.com
Received: August 7, 2021 Peer-review started: August 7, 2021 First decision: September 29, 2021 Revised: October 8, 2021 Accepted: February 12, 2022 Article in press: February 12, 2022 Published online: March 18, 2022 Processing time: 222 Days and 0.9 Hours
ARTICLE HIGHLIGHTS
Research background
The most widely accepted treatment for pediatric supracondylar humeral fracture is closed reduction and percutaneous pinning. However, there is debate regarding the technique that is utilized, whether crossed or lateral pinning, and the number of pins used.
Research motivation
To compare the functional and radiological outcomes of lateral and cross pinning in the management of humeral supracondylar fracture.
Research objectives
To compare the functional and radiological outcomes of lateral and cross pinning in the management of humeral supracondylar fracture.
Research methods
A retrospective analysis was performed on 101 patients who were surgically managed by either one of the CRPP techniques from 2015 to 2019. Several clinical parameters were taken into account, including pre- and post-intervention Baumann's angle, as well as scores for pain, range of motion, function, and stability. Statistical analyses were performed to study the outcomes of the utilized techniques.
Research results
Amongst our study sample, which included 63 males and 38 females with a mean age of 5.87 years, about one-third of the patients underwent crossed pinning fixation configuration and the remaining two-thirds were managed by lateral pinning configuration. Similar results were obtained in the two groups with no statistical difference regarding Mayo elbow performance scores (MEPS) and Baumann's angle. The mean MEPS in the lateral and crossed pinning groups were 93.68 + 8.59 and 93.62 + 9.05, respectively. The mean Baumann's angle was 72.5 + 6.46 in the lateral group and 72.3 + 4.70 in the cross-pinning group (P = 0.878).
Research conclusions
Both lateral pinning and crossed pinning fixation configuration for displaced pediatric supracondylar humeral fractures provide similar functional and radiological outcomes.
Research perspectives
A randomized controlled trial involving larger samples and evenly distributed cases with long-term follow-up is warranted in future studies.
