MLP with a mini-open technique reduces the risk of ulnar nerve lesion and is an effective and safe choice. MLP is more effective in maintaining fixation, while LP is safer with respect to ulnar nerve injury. However, no significant difference was observed for incidence of ulnar nerve injury if applying a mini-open technique in MLP group (RR = 1.73, 0.47–6.31, P = 0.407). ResultsĪ total of 19 RCTs comprising 1297 Gartland type II and type III fractures were included. Relative risk (RR) and mean difference (MD) with corresponding 95% confidence interval (CI) were calculated for radiographical outcomes, functional outcomes and complications. Randomized controlled trials (RCTs) were searched on PubMed, EMBASE, Web of Science, Cochrane library and Google Scholar. ![]() This meta-analysis aimed to compare the efficacy and safety of both pinning fixation methods. Two pinning configurations, medial–lateral crossed entry pinning (MLP) and lateral-only entry pinning (LP), are widely used, but which one is superior to another one is still debatable. ![]() Supracondylar humeral fractures (SCHFs) are frequent in children, and closed reduction with percutaneous pin fixation remains the standard surgical treatment for displaced SCHFs.
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