Crossed versus lateral K-wire fixation of supracondylar fractures of the humerus in children: A meta-analysis of randomized controlled trials.
Journal of Shoulder and Elbow Surgery Oct 20, 2020
Carrazzone OL, Mansur NSB, Matsunaga FT, et al. - A meta-analysis of randomized clinical trials was conducted to assess both techniques in terms of the function of the elbow, risk of neurological injury, and loss of reduction. Researchers also evaluated the quality of the evidence currently available. They carried out to search Medline, EMBASE, Cochrane Library, LILACS, and ongoing clinical trial databases until March 2020. They performed a meta-analysis applying relative risk analysis for dichotomous variables and differences in means for continuous variables. A total of 930 patients were included in the study. While fixation with crossed wires is more effective at maintaining fracture reduction, there is data of very low quality that fixation with lateral wires is safer with regard to iatrogenic nerve lesions.
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