Carta ao Editor sobre: “Comparação entre fixação de fio de Kirschner liso e de parafusos canulados em fraturas deslocadas do côndilo lateral do úmero em crianças”
2024
Letter to the Editor on Comparison of Fixation Methods for Children's Humeral Fractures
Commentary
Author Information
Author(s): Rehm Andreas, Shehata Ramy, Clegg Rachael, Elerian Sherif, Ashby Elizabeth
Primary Institution: Cambridge University Hospitals NHS Foundation Trust
Conclusion
The authors highlight a high major complication rate associated with open reductions and screw fixations in pediatric humeral fractures.
Supporting Evidence
- Vergara and Fretes did not measure the amount of displacement for type III fractures.
- Bland et al. reported that the internal oblique radiograph is the most reliable view to measure displacement.
- Li et al. identified that the articular cartilage was intact in 14 of 39 children with Weiss type II fractures.
- Bernthal et al. reported a significantly reduced absolute arc of motion for those treated with open reduction compared to non-operative management.
Takeaway
This letter discusses problems with a study on fixing broken arms in kids, saying that some methods might cause more problems than others.
Potential Biases
Inconsistencies in the original study's claims about randomization and treatment decisions raise concerns about bias.
Limitations
The original study did not measure displacement for type III fractures and lacked data on fragment rotation.
Digital Object Identifier (DOI)
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