{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T13:27:41Z","timestamp":1790688461694,"version":"4.1.0"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Orthop Unfall"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The aim of the study was to compare closed and open reduction of displaced\n\t\t\t\tpaediatric supracondylar humerus fractures with regard to long-term functional\n\t\t\t\toutcome and quality of life.<\/jats:p>\n                  <jats:p>In this retrospective study, 30 patients were examined with a displaced\n\t\t\t\tsupracondylar humerus fracture (14 boys and 16 girls with a median age of 7 years\n\t\t\t\t[5\u201312 years]). The right elbow was affected in 8 cases (27%) and the left elbow in\n\t\t\t\t22 cases (73%). According to the Gartland\/Wilkins classification, there were 3\u00d7 type\n\t\t\t\tIIA (10%), 8\u00a0\u00d7 type IIB (27%), 18\u00a0\u00d7 type III (60%) fractures (missing data n\u00a0=\u00a01\n\t\t\t\t[3%]). All fractures were fixed with a crossed K-wire osteosynthesis. In the 1st\n\t\t\t\tgroup (n\u00a0=\u00a012), the fractures were reduced closed. In the 2nd group (n\u00a0=\u00a018), an\n\t\t\t\topen reduction was performed. The Quick Disabilities of the Arm, Shoulder and Hand\n\t\t\t\tScore (Quick-DASH) and the Paediatric Quality of Life Score (PedsQL) were recorded\n\t\t\t\tas outcome parameters after a mean follow-up of 53 months. The two groups were\n\t\t\t\tcompared in terms of patient- and treatment-related factors and outcome\n\t\t\t\tparameters.<\/jats:p>\n                  <jats:p>The proportion of right elbow fractures was significantly higher in group 1 than\n\t\t\t\tin group 2 (50% vs. 11%). In group 2, the proportion of more severely displaced\n\t\t\t\tfractures was significantly higher than in group 1 (Gartland\/Wilkins type III: 98%\n\t\t\t\tvs. 17%) and the median operating time was significantly longer (93\u00a0min vs. 26\u00a0min).\n\t\t\t\tThere were no significant differences between the two groups in the Quick-DASH (0\n\t\t\t\t[0\u201339] vs. 0 [0\u201311], p\u00a0=\u00a00.219), in the additional module \u201cSports and Music\u201d of the\n\t\t\t\tQuick-DASH (0 [0\u201337.5], missing data n\u00a0=\u00a02, vs. 0 [0\u201350], p\u00a0=\u00a00.284) and in the\n\t\t\t\tPedsQL (95 [63\u2013100] vs. 96 [86\u2013100], p\u00a0=\u00a00.328).<\/jats:p>\n                  <jats:p>Open reduction of displaced paediatric supracondylar humerus fractures does not\n\t\t\t\tlead to a reduction in long-term functional outcome and quality of life compared to\n\t\t\t\tclosed reduction.<\/jats:p>","DOI":"10.1055\/a-2641-9717","type":"journal-article","created":{"date-parts":[[2025,7,16]],"date-time":"2025-07-16T23:49:44Z","timestamp":1752709784000},"page":"21-27","source":"Crossref","is-referenced-by-count":1,"title":["Open Reduction of Paediatric Supracondylar Humerus Fractures has No Negative Impact on Long-term Functional Outcome and Quality of Life Compared to Closed Reduction"],"prefix":"10.1055","volume":"164","author":[{"given":"Cornelius","family":"Feige","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall- und Wiederherstellungschirurgie, Eberhard Karls Universit\u00e4t T\u00fcbingen, BG Klinik T\u00fcbingen, T\u00fcbingen, Deutschland"},{"name":"Klinik f\u00fcr Unfallchirurgie, Klinikverbund S\u00fcdwest Kliniken Sindelfingen, Sindelfingen, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Gonser","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall- und Wiederherstellungschirurgie, Eberhard Karls Universit\u00e4t T\u00fcbingen, BG Klinik T\u00fcbingen, T\u00fcbingen, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Badke","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Querschnittgel\u00e4hmte, Technische Orthop\u00e4die und Wirbels\u00e4ulenchirurgie, Eberhard Karls Universit\u00e4t T\u00fcbingen, BG Klinik T\u00fcbingen, T\u00fcbingen, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tina","family":"Histing","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall- und Wiederherstellungschirurgie, Eberhard Karls Universit\u00e4t T\u00fcbingen, BG Klinik T\u00fcbingen, T\u00fcbingen, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"K\u00f6rner","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall- und Wiederherstellungschirurgie, Eberhard Karls Universit\u00e4t T\u00fcbingen, BG Klinik T\u00fcbingen, T\u00fcbingen, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,7,16]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"738","DOI":"10.1007\/s11999-014-4033-8","article-title":"Classifications in brief: the Gartland classification of supracondylar\n\t\t\t\t\thumerus fractures","volume":"473","author":"TB Alton","year":"2015","journal-title":"Clin Orthop Relat Res"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1121","DOI":"10.2106\/JBJS.G.01354","article-title":"Supracondylar humeral fractures in children","volume":"90","author":"R Omid","year":"2008","journal-title":"J Bone Joint Surg Am"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"69","DOI":"10.5435\/JAAOS-20-02-069","article-title":"Management of supracondylar humerus fractures in children: current\n\t\t\t\t\tconcepts","volume":"20","author":"JM Abzug","year":"2012","journal-title":"J Am Acad Orthop Surg"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"64","DOI":"10.1097\/MOP.0000000000000044","article-title":"The displaced supracondylar humerus fracture: indications for surgery and\n\t\t\t\t\tsurgical options: a 2014 update","volume":"26","author":"HN Ladenhauf","year":"2014","journal-title":"Curr Opin Pediatr"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"e1492","DOI":"10.3928\/01477447-20120919-18","article-title":"Risk factors for failed closed reduction of pediatric supracondylar\n\t\t\t\t\thumerus fractures","volume":"35","author":"JD Beck","year":"2012","journal-title":"Orthopedics"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"621","DOI":"10.1016\/j.otsr.2014.05.015","article-title":"Factors associated with a failed closed reduction for supracondylar\n\t\t\t\t\tfractures in children","volume":"100","author":"LJ Sun","year":"2014","journal-title":"Orthop Traumatol Surg Res"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1007\/s00590-020-02784-2","article-title":"Independent predictors affecting the reduction of pediatric supracondylar\n\t\t\t\t\thumerus fractures: a retrospective cohort study","volume":"31","author":"S Suganuma","year":"2021","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"573","DOI":"10.1097\/BPO.0000000000002784","article-title":"Identifying Risk Factors for Open Reduction in Pediatric Supracondylar\n\t\t\t\t\tHumerus Fractures","volume":"44","author":"UC Kolac","year":"2024","journal-title":"J Pediatr Orthop"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"2279","DOI":"10.1016\/j.jse.2024.04.019","article-title":"Analysis of risk factors for failed closed reduction in pediatric Gartland\n\t\t\t\t\tType III supracondylar humerus fracture","volume":"33","author":"Y Wang","year":"2024","journal-title":"J Shoulder Elb Surg"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"397","DOI":"10.1007\/s00590-018-2305-9","article-title":"Open versus closed reduction and K-wire fixation for displaced\n\t\t\t\t\tsupracondylar fracture of the humerus in children","volume":"29","author":"AA Hussein Al-Algawy","year":"2019","journal-title":"Eur J Orthop Surg Traumatol"},{"issue":"S 1","key":"ref11","doi-asserted-by":"publisher","first-page":"S13","DOI":"10.1016\/j.injury.2021.02.071","article-title":"Gartland type III supracondylar fracture in children: is open reduction\n\t\t\t\t\treally a dangerous choice?","volume":"53","author":"L Tarallo","year":"2022","journal-title":"Injury"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"2188","DOI":"10.2106\/JBJS.H.01316","article-title":"Relationship of the anterior humeral line to the capitellar ossific\n\t\t\t\t\tnucleus: variability with age","volume":"91","author":"MJ Herman","year":"2009","journal-title":"J Bone Joint Surg 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Germann","year":"2003","journal-title":"Unfallchirurg"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"e22","DOI":"10.1097\/BPO.0000000000000202","article-title":"PedsQL correlates to PODCI in pediatric orthopaedic outpatient\n\t\t\t\t\tclinic","volume":"34","author":"ST Mahan","year":"2014","journal-title":"J Pediatr Orthop"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"263","DOI":"10.2106\/00004623-197456020-00004","article-title":"Blind pinning of displaced supracondylar fractures of the humerus in\n\t\t\t\t\tchildren. 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