Changes in the management of pediatric medial humeral epicondyle fractures with and without associated elbow dislocation

Use of resorbable magnesium screws in children: systematic review of the literature and short-term follow-up from our series

“…Similar osteolysis around MAGNEZIX ® implants is visible on radiographs presented in other publications, 2 , 5 , 6 which might not be reversed until about 6–12 months after surgery. 5 , 6 Such extensive lysis would increase the risk to sustain a stress fracture around the implant, probably stopping children from participating with contact sport.…”

“…We read with interest the above publication by Baldini et al 1 Scherer et al 2 used the biodegradable MAGNEZIX ® implant for fixation of medial humeral epicondyle fractures in 2 children and stated that absorbable implants are increasingly used in the treatment of pediatric fractures in order to avoid a second operation for metal removal. This is not supported by the recent systematic review of medial humeral epicondyle fracture management by Pezzutti et al, 3 with none of the 37 included studies having reported the use of resorbable implants and the vast majority of metal screws used in children aged 11-14 years not having been removed.…”

“…We read with interest the above publication by Baldini et al 1 Scherer et al 2 used the biodegradable MAGNEZIX ® implant for fixation of medial humeral epicondyle fractures in 2 children and stated that absorbable implants are increasingly used in the treatment of pediatric fractures in order to avoid a second operation for metal removal.…”

Letter to the Editor: “Fixation of Unstable Osteochondritis Dissecans Lesions and Displaced Osteochondral Fragments Using New Biodegradable Magnesium Pins in Adolescents”

“…We read with interest the publication by Jungesblut and colleagues, 1 which is 1 of 4 studies reporting on the use of MAGNEZIX® implants in children and adolescents. 1 - 4 Jungesblut et al . 1 reported that complete radiographic healing of an osteochondral defect (OCD) had occurred in 12 of 19 children, but none of the provided images shows a healed defect.…”

“…We read with interest the publication by Jungesblut and colleagues, 1 which is 1 of 4 studies reporting on the use of MAGNEZIX® implants in children and adolescents. [1][2][3][4] Jungesblut et al 1 reported that complete radiographic healing of an osteochondral defect (OCD) had occurred in 12 of 19 children, but none of the provided images shows a healed defect. In contrary, the authors' 1 third figure shows extensive destruction of the normal trabecular bone structure with increased irregularity of a talar OCD fragment at 12 months after surgery, the fifth figure shows enlargement of a femoral OCD defect at 11 weeks with breakage of one pin and joint protrusion of 2 other pins, and the sixth figure shows non-union at 6 months, with a clear demarcation line between the femoral OCD fragment and the main bone after MAGNEZIX® pin fixation.…”