Surgical Interventions for the Treatment of Supracondylar Humerus Fractures in Children: Protocol of a Systematic Review

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dc.citation.issue11
dc.citation.volume6
dc.contributor.authorCarrazzone, Oreste Lemos [UNIFESP]
dc.contributor.authorBelloti, Joao Carlos [UNIFESP]
dc.contributor.authorMatsunaga, Fabio Teruo [UNIFESP]
dc.contributor.authorBarbachan Mansur, Nacime Salomao [UNIFESP]
dc.contributor.authorMatsumoto, Marcelo Hide [UNIFESP]
dc.contributor.authorFaloppa, Flavio [UNIFESP]
dc.contributor.authorSugawara Tamaoki, Marcel Jun [UNIFESP]
dc.coverageToronto
dc.date.accessioned2020-07-17T14:03:29Z
dc.date.available2020-07-17T14:03:29Z
dc.date.issued2017
dc.description.abstractBackground: The treatment of supracondylar humerus fracture in children (SHFC) is associated with complications such as functional deficit, residual deformity, and iatrogenic neurological damage. The standard treatment is closed reduction and percutaneous Kirschner wire fixation with different configurations. Despite this fact, there is still no consensus on the most effective technique for the treatment of these fractures. Objective: The aim of this systematic review will be to evaluate the effect of surgical interventions on the treatment of Gartland type II and III SHFC by assessing function, complications, and error as primary outcomes. Clinical outcomes such as range of motion and pain and radiographic outcomes will also be judged. Methods: A systematic review of randomized controlled trials or quasi-randomized controlled trials evaluating the surgical treatment of SHFC will be carried out in the Cochrane Central Register of Controlled Trials, PubMed, Literatura Latino-Americana e do Caribe em Ciencias da Saude, and Excerpta Medica Database. The search will also occur at ongoing and recently completed clinical trials in selected databases. Data management and extraction will be performed using a data withdrawal form and by analyzing the following: study method characteristics, participant characteristics, intervention characteristics, results, methodological domains, and risk of bias. To assess the risk of bias of the included trials, the Cochrane Risk of Bias Tool will be used. Dichotomous outcome data will be analyzed as risk ratios, and continuous outcome data will be expressed as mean differences, both with 95% confidence intervals. Also, whenever possible, subgroup analysis, sensitivity analysis, and assessment of heterogeneity will be performed. Results: Following the publication of this protocol, searches will be run and included studies will be deeply analyzed. We hope to obtain final results in the next few months and have the final paper published by the end of 2018. This study was funded by a government-based noncommercial agency, Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP). Conclusions: This study may provide surgical treatment effects evidence for SHFC. The results will assist clinical practice by demonstrating the effectiveness and potential complications of these interventions and might serve as a reference for future clinical trials on the topic.en
dc.description.affiliationUniv Fed Sao Paulo, Escola Paulista Med, Dept Orthoped & Traumatol, Rua Borges Lagoa 783-5o, Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Escola Paulista Med, Dept Orthoped & Traumatol, Rua Borges Lagoa 783-5o, Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipFundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP)
dc.format.extent-
dc.identifierhttp://dx.doi.org/10.2196/resprot.8343
dc.identifier.citationJmir Research Protocols. Toronto, v. 6, n. 11, p. -, 2017.
dc.identifier.doi10.2196/resprot.8343
dc.identifier.fileWOS000415971800009.pdf
dc.identifier.issn1929-0748
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/55434
dc.identifier.wosWOS:000415971800009
dc.language.isoeng
dc.publisherJmir Publications, Inc
dc.relation.ispartofJmir Research Protocols
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectsupracondylar humerus fractureen
dc.subjectChildrenen
dc.subjectsurgical treatmenten
dc.subjectsystematic reviewen
dc.titleSurgical Interventions for the Treatment of Supracondylar Humerus Fractures in Children: Protocol of a Systematic Reviewen
dc.typeinfo:eu-repo/semantics/article
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