Comparison of Kirschner wires and AO cannulated screw internal fixation for displaced lateral humeral condyle fracture in children

Abstract

Purpose This retrospective study compares Kirschner wires versus 3.5-mm diameter AO cannulated screw internal fixation in treatment for the displaced lateral humeral condyle fractures. Methods The study included 62 patients (42 boys, 20 girls; mean age 6.93 years; age range two to 14 years) with displaced lateral humeral condyle fractures.

Buried versus unburied Kirschner wires in the management of paediatric lateral condyle elbow fractures

“…Many units also believe that any fracture with more than 2 mm of displacement should be managed with internal fixation [8]. This can be achieved using AO cannulated screws or Kirschner wires (K-wires) [9]. In our unit, K-wire fixation is the modality of choice.…”

Cannulated Lag Screw Fixation of Displaced Lateral Humeral Condyle Fractures Is Associated With Lower Rates of Open Reduction and Infection Than Pin Fixation

“…[11][12][13] Although closed reduction for displaced fractures remains controversial, recent studies have shown promising results. [12][13][14][15] Compression is important in these small, articular fractures, and the optimal mode of fixation for maintaining fracture reduction is debated. 14-17 Several constructs (eg, multiple smooth pins, single lag screw, and threaded pins) have been described.…”

Posterolateral approach for humeral lateral condyle fractures in children

“…Li et al [34] compared wire fixation and screw fixation, and found no difference in the results. However, the metaphyseal fragment was often too small to be purchased by a screw.…”