Humeral Capitellum Fractures in Adolescents: A Study of 6 Cases Treated by Open Reduction and Internal Fixation with Bioabsorbable Nails

Wiktor, Łukasz; Tomaszewski, Ryszard

doi:10.1155/2022/4012125

Cited by 3 publications

(2 citation statements)

References 27 publications

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“…The headless screws, put on the sagittal plane of the fractures, have taken the place of the cancellous screws, not requiring another surgery for hardware removal, and being well tolerated in most of the cases. Some authors have also used osteosuture ( 22 ) or bioabsorbable pins ( 26 , 35 , 37 ). In the case of small fragments generating a mechanical blockage in the joint, whose size does not allow any fixation, these fractures are accessible for excision by an open or even arthroscopic approach ( 9 ).…”

Section: Discussionmentioning

confidence: 99%

Shear fractures of the capitellum in children: a case report and narrative review

Pilotto,

Valisena,

De Marco

et al. 2024

Front. Surg.

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The shear fractures of the capitellum are rare fractures in the pediatric population. Their diagnosis is challenging because of the high cartilaginous component of the growing elbow, requiring a high level of clinical suspicion especially in the case of small osteochondral or chondral fragments. The literature on capitellar shear fractures is mainly represented by case reports, which provides a patchy view of the topic. For this reason, we aimed to draw a narrative review presenting the available management strategies and their outcomes, and present two cases treated in our institution.

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Section: Discussionmentioning

confidence: 99%

Shear fractures of the capitellum in children: a case report and narrative review

Pilotto,

Valisena,

De Marco

et al. 2024

Front. Surg.

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“…Marek et al demonstrated no influence of Mg-Zn-Ca screws on physis and longitudinal bone growth throughout their degradation [26,27]. Wiktor et al stated only good and excellent outcomes for humeral capitellum fractures in 6 immature patients aged 10.6-15.3 treated with internal fixation with bioabsorbable nails [28].…”

Section: оригинальные статьиmentioning

confidence: 99%

Resorbable implants in paediatric orthopaedics and traumatology

Lascombes,

Journeau,

Popkov

2023

jour

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Background Development of resorbable implants for paediatric orthopaedics is promising as there is no need for implant removal.The aim of this paper is to present our experience in resorbable implants in paediatric traumatology, and to make an overview of the recent literature.Material and methods In our department of paediatric traumatology and orthopaedics, we have operated 7 children with fractures of long bones with resorbable screws (ActivaScrew™). The inclusion criteria were intra-articular and juxta-articular fractures in children with an indication for screw fixation. To prepare the review, we searched for information sources at the scientific platforms such as PubMed, Scopus, ResearchGate, RSCI, as well as other published products (Elsevier, Springer).Results The cohort is represented by 7 patients, 4 girls and 3 boys, aged from 5 to 14 years old. The 7 fractures were 3 at the elbow and 4 at the ankle joint. In the immediate postoperative period, no patient presented with abnormal swelling, redness, or tissue reaction. Pain disappeared at day 7 in all cases. Weight-bearing and return to sport activities were allowed in normal delay. Radiological bone union was obtained between 3 and 6 weeks. Range of motion in adjacent joints was comparable to the opposite non-fractured side at 3 months. There were no cases of complications, no infection, and no need for a reoperation.Discussion The use of resorbable implants, either co-polymers or magnesium, solves the problem: removal of implants is not anymore necessary. Resorbable implants are becoming safer as they have good solidity allowing bone union of fractures and osteotomies before their eliminating.Conclusion Main indications of resorbable implants in pediatrics remain fractures and osteotomies fixed with screws. The development of plates and intramedullary nails will enlarge the indications. Level of evidence: IV.

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Open reduction and internal fixation by hollow screw for capitellum fractures in children

Zhao¹,

Liu²,

Xie³

et al. 2023

Preprint

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Background To evaluate the clinical outcome of capitellum fractures in children treated with open reduction and internal fixation (ORIF) by hollow screw. Methods Five children with capitellum fractures, aged 10–14 years, average age = 12.2 years, who were admitted to our hospital between January 2018 and June 2021, were included in this study. All patients underwent ORIF using compressive hollow screws inserted in a posterior-to-anterior direction. The Broberg-Morrey elbow function score was used to evaluate the outcome during the follow-up. Results The mean follow-up period was 11.8 (9–18) months. The mean Elbow Performance Index score was 97 (range 85–100), and the scores were excellent in four cases and general in one case. All patients achieved anatomic bone union and good elbow flexion and extension functions, no patient developed vascular and nerve injury, infection or avascular necrosis. Conclusion In the treatment of children with capitellum fractures, the lateral approach of open reduction and hollow-screw posterior-to-anterior internal fixation has a good effect.

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Humeral Capitellum Fractures in Adolescents: A Study of 6 Cases Treated by Open Reduction and Internal Fixation with Bioabsorbable Nails

Cited by 3 publications

References 27 publications

Shear fractures of the capitellum in children: a case report and narrative review

Shear fractures of the capitellum in children: a case report and narrative review

Resorbable implants in paediatric orthopaedics and traumatology

Open reduction and internal fixation by hollow screw for capitellum fractures in children

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