Radiological comparison of parallel fixation and divergent fixation using K-wire in pediatric lateral condyle fractures

Güven, Necip; Özkan, Sezai; Özcan, Can; Türközü, Tülin; Tokyay, Abbas; Tanli, Rohat

doi:10.28982/josam.829330

Cited by 1 publication

(1 citation statement)

References 24 publications

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“…However, there was no difference between these techniques in terms of loss of fracture reduction. Guven et al [9] retrospectively evaluated pediatric lateral condylar fractures with divergent and parallel pins. They concluded that there was no difference in the radiologic results between these methods.…”

Section: Discussionmentioning

confidence: 99%

A novel percutaneous intrafocal reduction technique for brachialis penetrating irreducible type 4 supracondylar humerus fracture

Turan¹,

Çabuk²

2022

Journal of Surgery and Medicine

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Type 4 supracondylar fractures are challenging to treat. Closed reduction may become impossible due to brachialis muscle penetration and devastating results like a neurovascular injury that may occur during recurrent manipulations. We here report an intra-focal percutaneous reduction technique for maintaining closed reduction. An extensively posterior displaced type 4 supracondylar fracture with a dimple at the antecubital fossa and an extensive ecchymosis is presented. During surgery, we could not obtain closed reduction with the milking maneuver. We inserted an intrafocal K-Wire from the posterior side into the fracture site. With the levering of the wire, the dimple disappeared, after which we maintained the anatomical reduction and fixed the fracture with two lateral K-wires. Neither complication nor residual deformity was observed during postoperative follow-up. To show the exact long-term effects and the safety of this procedure, we need more fractures with brachialis penetration operated on by the described technique.

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Section: Discussionmentioning

confidence: 99%