A new procedure for fractures of the medial epicondyle in children: Mitek® bone suture anchor

Abstract

We present a new bone suture anchor technique for fractures of the medial epicondyle. The hypothesis was that the results would be similar to those with the divergent K-wire fixation. This retrospective study included 40 patients who presented with displaced fractures of the medial epicondyle: one group was treated with a Mitek(®) non-resorbable bone suture anchor (group A: n=21), the other by K-wire fixation (group B: n=19). A medial approach was taken with an anchor placed above the olecranon fossa. The epicondyle was then repositioned by bone suture. After a mean follow-up of 18.6 months, union was obtained in all epicondyles. There was no difference in flexion-extension of the elbow. The rate of hypertrophy of the medial epicondyle was similar in both groups (57%). The bone suture anchor of the medial epicondyle is an effective technique that does not require hardware removal and is an alternative treatment option to divergent K-wire fixation.

Novel fixation of medial epicondyle fractures in a throwing athlete using suture bridge technique

“…As discussed in a previously published bone anchor suture repair technique 13 , the authors suggest that the use of the proposed suture bridge technique would not require subsequent hardware removal due to irritation, seen with k-wire or screw fixation 15 . PEEK anchors are a nonabsorbable, strong, and radiolucent anchor that retains strength during the critical phases of tissue healing.…”

“…Medial epicondyle fractures constitute 11% to 20% of fractures around the elbow. Surgical options that have been described for fixation of medial epicondyle fractures include the use of sutures, K wires, cannulated screws with and without washer, suture anchor repair or excision of the fragments with advancement of medial soft tissues 6 , 11 , 13 . Hardware irritation is one of the disadvantages of wire or screw fixation that might need surgical removal.…”

Pediatric medial humeral epicondyle fracture in children: Are biodegradable pins with tension band absorbable sutures efficient?

“…Thelen et al used bony anchor sutures for fixation, while Poircuitte [ 12 also employed PLGA pins for stable internal stabilization. [ 13 ] Su and Nan [ 14 ] reported that self-reinforced polylactide pins showed better short-term functional outcomes than K-wires.…”

“…Displaced medial epicondyle fractures can be treated with a variety of implants, such as different techniques of K-wires, screws, and tension band wires. [10][11][12][13][14] Excision of the fragment and soft tissue reattachment have poor outcomes. [11] Most surgeons prefer open reduction because the ulnar nerve is close to the fracture and closed techniques may cause iatrogenic injuries.…”

Biofunctionalization of UHMWPE Polymer and Its Application in Anterior Cruciate Ligament Reconstruction

“…A Bioglass coating improves the structural integrity of the composite by controlling the biodegradation rate and protecting it from some degradation. J.J [131] reported that a different silver doped bioactive glass powder was applied to resorbable and non-resorbable vicryl polymer sutures to improve its microbial activity, bioactivity, and bactericidal activities [132]. In this technique, silver bromide (AgBr) particles in deionized water were stirred continuously to prevent sedimentation.…”