Prone versus Supine Position during Surgery for Supracondylar Humeral Fractures

Güler, Olcay; Mutlu, Serhat; Isyar, Mehmet; Mutlu, Harun; Cerci, Halis; Mahiroğulları, Mahir

doi:10.1177/1602400209

Cited by 6 publications

(6 citation statements)

References 10 publications

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“…In our study, as in the series of Gurler et al [13], both intraoperative positionings reported good and comparable (p = 0.15) radiographic outcomes, according to modified Baumann's angle. Hsuan-Kai Kao's study [31] showed that the mean change in Baumann's angle was 3.5.…”

Section: Discussionsupporting

confidence: 86%

“…K. Venkatadass et al [30] reported the 87.5% and 89.1% of satisfaction results for prone and supine position, respectively. Guler et al [13] compared 27 prone positioned patients to 29 supine and did not found any differences. Hsuan-Kai Kao et al [31] treated in prone position 10 patients in 7 years, and 90% of them had excellent outcomes, according to Flynn's criteria.…”

Section: Discussionmentioning

confidence: 95%

“…Generally, the supine position is the ordinary placement during surgery [10], but recent findings have shown prone position as an efficient alternative. Despite a more challenged airway management [11], prone position achieves a fracture reduction more easily to perform and, at the same time, a safer pins placement can be performed avoiding excess of elbow flexion [12,13].…”

Section: Introductionmentioning

confidence: 99%

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Is Supine Position Superior to Prone Position in the Surgical Pinning of Supracondylar Humerus Fracture in Children?

Pavone

Vescio

Riccioli

et al. 2020

JFMK

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Background: Supracondylar humerus fracture (SCHF) is a frequent injury in pediatric ages. Closed reduction and percutaneous pin fixation is a common treatment of displaced SCHF. Surgery is usually performed in the supine position; otherwise the prone position allows an easier fracture reduction and a safe placement of pins. The aim of study is to compare the clinical and radiographic results of the treatment of displaced SCHF, comparing two different intra-operative positionings. Methods: 59 SCHF affected children were retrospectively divided into supine (Group 1; n = 34) and prone (Group 2; n = 25), according to intraoperative position. All treated subjects were clinically evaluated according to Flynn’s criteria and Mayo Elbow Performance Score, and radiographically, including the measurement of the Baumann angle. Results: Clinically, Group 1, according Flynn’s criteria, had excellent cosmetic outcome in 32 subjects (94.1%). Mean MAYO Score was 96.0 ± 3.8. Group 2, according Flynn’s criteria, had excellent cosmetic outcomes in 23 subjects (92.0%). Mean MAYO Score was 97.8 ± 3.3. Radiographically, mean difference of Baumann’s angle between the injured limb and the normal limb was 5.5° ± 1.0° in Group 1 and 5.1° ± 1.1° in Group 2. Conclusion: Both supine and prone positioning achieved a satisfying outcome with similar results in joint function recovery and complications.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

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Is Supine Position Superior to Prone Position in the Surgical Pinning of Supracondylar Humerus Fracture in Children?

Pavone

Vescio

Riccioli

et al. 2020

JFMK

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“…Table 2 provides a summary of all included studies [ 2 , 7 , 9 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 ].…”

Section: Resultsmentioning

confidence: 99%

“…In all cases, these were Gartland 3 fractures. As a matter of fact, open reduction as second chance, neither as first option treatment is always analyzed [ 2 , 9 , 15 , 21 ]. In two cases where closed reduction is not achieved in the prone position; both of them were remanipulated into the supine position [ 7 ].…”

Section: Resultsmentioning

confidence: 99%

The Role of Patient Position in the Surgical Treatment of Supracondylar Fractures of the Humerus: Comparison of Prone and Supine Position

et al. 2023

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Background and Objectives: 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. Materials and Methods: 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 (n = 14) was assessed (MINORS criteria). Statistical analyses were performed using R studio 4.1.2. Results: 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. Conclusions:: 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.

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Risk of ulnar nerve injury during cross-pinning in supine and prone position for supracondylar humeral fractures in children: a recent literature review

Calevo

Fracassetti²,

Moharamzadeh³

et al. 2019

Eur J Orthop Surg Traumatol

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Prone versus Supine Position during Surgery for Supracondylar Humeral Fractures

Abstract: In surgery for supracondylar humeral fractures in children, patient position affected only the duration of anaesthesia.

Cited by 6 publications

References 10 publications

Is Supine Position Superior to Prone Position in the Surgical Pinning of Supracondylar Humerus Fracture in Children?

Is Supine Position Superior to Prone Position in the Surgical Pinning of Supracondylar Humerus Fracture in Children?

The Role of Patient Position in the Surgical Treatment of Supracondylar Fractures of the Humerus: Comparison of Prone and Supine Position

Risk of ulnar nerve injury during cross-pinning in supine and prone position for supracondylar humeral fractures in children: a recent literature review

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