Department of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatology, P.O. "Policlinico Gaspare Rodolico", University of Catania, Via Santa Sofia 78, 95123 Catania, Italy.
Department of Pediatric Orthopedic Surgery, Jeanne de Flandre Hospital, Lille University Centre, 59000 Lille, France.
Medicina (Kaunas). 2023 Feb 15;59(2):374. doi: 10.3390/medicina59020374.
: Supracondylar fractures of the humerus (SCHF) make up about one-third of pediatric fractures and are the most common elbow fractures in children. Reduction and fixation of SC fractures can be performed with the patient in the prone or supine position. However, the role of the patient's position during surgery is still unclear. The purpose of this systematic review is to evaluate, based on data from the literature, the role of patient position during closed reduction and fixation of pediatric SCHFs. : A systematic review of the current literature from 1951 to 2021 was conducted according to PRISMA guidelines. Articles were identified from 6 public databases. Articles were screened and abstracted by two investigators and the quality of included publications ( = 14) was assessed (MINORS criteria). Statistical analyses were performed using R studio 4.1.2. : The systematic literature review identified 114 articles, from which, according to inclusion and exclusion criteria, 14 studies were identified. A total of 741 children were treated in the prone position and 538 in the supine position. The results of the systematic review showed that there were no statistical differences between the two positions with regard to clinical, radiographic, and complication outcomes. : The functional and radiographic outcome of displaced SCHFs is generally excellent regardless of the position, prone or supine, in which the patient is positioned for surgery. The choice of how to position the patient depends on the habit and experience of the surgeon and anesthesiologist performing the surgery.
: 肱骨髁上骨折（SCHF）约占小儿骨折的三分之一，是儿童中最常见的肘部骨折。SC 骨折的复位和固定可在患者俯卧位或仰卧位进行。然而，手术中患者体位的作用仍不清楚。本系统评价的目的是根据文献中的数据评估小儿 SCHF 闭合复位和固定术中患者体位的作用。 : 按照 PRISMA 指南，对 1951 年至 2021 年的现有文献进行了系统评价。从 6 个公共数据库中确定了文章。由两名研究人员筛选和提取文章，并评估纳入出版物的质量（MINORS 标准）。使用 R studio 4.1.2 进行统计分析。 : 系统文献综述确定了 114 篇文章，根据纳入和排除标准，确定了 14 项研究。共有 741 名儿童在俯卧位治疗，538 名在仰卧位治疗。系统评价的结果表明，在临床、影像学和并发症结果方面，两种体位之间没有统计学差异。 : 无论患者在手术中处于俯卧位还是仰卧位，移位的 SCHF 的功能和影像学结果通常都很好。患者如何定位取决于手术医生和麻醉师的习惯和经验。
