Copyright
©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Oct 18, 2025; 16(10): 110461
Published online Oct 18, 2025. doi: 10.5312/wjo.v16.i10.110461
Published online Oct 18, 2025. doi: 10.5312/wjo.v16.i10.110461
Open reduction can be a reasonable, safe and effective choice in complex paediatric supracondylar humeral fractures operative treatment
Efstratios D Athanaselis, Nikolaos Metaxiotis, Nikolaos Rigopoulos, Michael Hantes, Zoe H Dailiana, Theofilos Karachalios, Sokratis Varitimidis, Department of Orthopaedic Surgery and Musculoskeletal Trauma, University General Hospital of Larissa, Larissa 41110, Greece
Author contributions: Athanaselis ED conceived the study and took the lead in writing the manuscript; Metaxiotis N collected the data, performed the analysis, and drafted the manuscript; Rigopoulos N contributed to the interpretation of the results and to the final version of the manuscript; Hantes M, Dailiana ZH, and Karachalios T contributed to the design and implementation of the research and to the analysis of the results; Varitimidis S supervised the project; and all authors discussed the results and contributed to the final manuscript providing critical feedback.
Institutional review board statement: This study was approved by the Medical Ethics Committee of University Hospital of Larissa.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after legal guardian of each underage patient agreed to treatment by written consent.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: Raw data were generated at University Hospital of Larissa-Greece. Derived data supporting the findings of this study are available from the corresponding author on request.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Efstratios D Athanaselis, MD, PhD, Senior Consultant, Department of Orthopaedic Surgery and Musculoskeletal Trauma, University General Hospital of Larissa, 3 Panepistimiou Street, Biopolis, Larissa 41110, Greece. strts.a@gmail.com
Received: June 10, 2025
Revised: June 30, 2025
Accepted: September 2, 2025
Published online: October 18, 2025
Processing time: 132 Days and 1.6 Hours
Revised: June 30, 2025
Accepted: September 2, 2025
Published online: October 18, 2025
Processing time: 132 Days and 1.6 Hours
Core Tip
Core Tip: Complex supracondylar humeral fractures in children are treated operatively. Though closed reduction by Blount’s method and pinning is the treatment of choice, open reduction can be reasonable in cases of gross displacement, neurovascular compromise and difficulty in closed reduction. Intra- and post-operative complication rates, functional outcome and reduce in radiation burden define open reduction as a safe and effective operative method.