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Unburied versus buried wires for fixation of pediatric lateral condyle distal humeral fractures: A meta-analysis.

Abstract Open reduction and internal fixation with Kirschner (K) wires has been reported as an efficient and convenient technique for pediatric lateral condyle distal humeral fractures. However, no single study has been large enough to definitively determine whether the K-wires should be buried or unburied. Therefore, we performed a meta-analysis pooling the results from several clinical trials to compare the outcome of using buried versus unburied K-wires. Potential academic articles were identified from the Cochrane Library, Medline (1966-2017.3), PubMed (1966-2017.3), Embase (1980-2017.3), ScienceDirect (1985-2017.3), and other databases. Gray studies were identified from the references of included literature reports. RevMan 5.1 was used to analyze the pooling of data. Nonrandomized controlled trials were included in this meta-analysis. There was a significant difference in the duration of wires in situ (MD = -13.28, 95% confidence interval: -16.42 to -10.14, Pā€Š<ā€Š.00001). No significant differences were found regarding infection, superficial infection, total complications, delayed union, or reoperation. Unburied K-wire fixation for treatment of lateral condyle distal humeral fractures in children does not increase the total infection rate, superficial infection, reoperation rate, or complications. However, unburied K-wire fixation is of benefit for early extraction and impartial cost savings.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 28834878
OWN - NLM
STAT- In-Process
DA  - 20170823
LR  - 20170907
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 34
DP  - 2017 Aug
TI  - Unburied versus buried wires for fixation of pediatric lateral condyle distal
      humeral fractures: A meta-analysis.
PG  - e7736
LID - 10.1097/MD.0000000000007736 [doi]
AB  - Open reduction and internal fixation with Kirschner (K) wires has been reported
      as an efficient and convenient technique for pediatric lateral condyle distal
      humeral fractures. However, no single study has been large enough to definitively
      determine whether the K-wires should be buried or unburied. Therefore, we
      performed a meta-analysis pooling the results from several clinical trials to
      compare the outcome of using buried versus unburied K-wires. Potential academic
      articles were identified from the Cochrane Library, Medline (1966-2017.3), PubMed
      (1966-2017.3), Embase (1980-2017.3), ScienceDirect (1985-2017.3), and other
      databases. Gray studies were identified from the references of included
      literature reports. RevMan 5.1 was used to analyze the pooling of data.
      Nonrandomized controlled trials were included in this meta-analysis. There was a 
      significant difference in the duration of wires in situ (MD = -13.28, 95%
      confidence interval: -16.42 to -10.14, P &lt; .00001). No significant differences
      were found regarding infection, superficial infection, total complications,
      delayed union, or reoperation. Unburied K-wire fixation for treatment of lateral 
      condyle distal humeral fractures in children does not increase the total
      infection rate, superficial infection, reoperation rate, or complications.
      However, unburied K-wire fixation is of benefit for early extraction and
      impartial cost savings.
FAU - Qin, Ya-Fei
AU  - Qin YF
AD  - Department of Orthopedics, Tianjin Medical University General Hospital, Tianjin, 
      R.P. China.
FAU - Li, Zhi-Jun
AU  - Li ZJ
FAU - Li, Cheng-Kai
AU  - Li CK
FAU - Bai, Shu-Cai
AU  - Bai SC
FAU - Li, Hui
AU  - Li H
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
PMC - PMC5572000
EDAT- 2017/08/24 06:00
MHDA- 2017/08/24 06:00
CRDT- 2017/08/24 06:00
AID - 10.1097/MD.0000000000007736 [doi]
AID - 00005792-201708250-00015 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Aug;96(34):e7736. doi: 10.1097/MD.0000000000007736.