Article
Orthopedics
Hossam El-Azab, Khalaf Fathy Elsayed Ahmed, Abdelrahman Hafez Khalefa, Ashraf Rashad Marzouk
Summary: This study aimed to compare the functional and radiographic outcomes of two minimally invasive techniques (using K-wires or cannulated screws) in the treatment of Sanders type II and III displaced intra-articular calcaneal fractures (DIACFs). The results showed that patients treated with cannulated screws had better functional and radiographic outcomes compared to those treated with K-wires.
INTERNATIONAL ORTHOPAEDICS
(2022)
Article
Orthopedics
Sangbin Jeon, Wooyeol Ahn, Jongbeom Oh, Jaiwoo Chung, Junwon Choi, Soonchul Lee
Summary: This study investigated the stability of different K-wire configurations for fixation of a lateral condyle fracture. The results showed that two divergent K-wires provided the most stability.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Review
Orthopedics
Qiuyuan Wang, Nianfei Zhang, Wanshou Guo, Weiguo Wang, Qidong Zhang
Summary: A meta-analysis comparing cannulated screw fixation and plate fixation for displaced intra-articular calcaneus fracture (DIACF) found that the two methods have similar postoperative functional outcomes, but cannulated screw fixation is superior in terms of reduction quality, time efficiency, and wound complication rates.
INTERNATIONAL ORTHOPAEDICS
(2021)
Article
Surgery
Chunfu Huang, Zuchang Fu, Qingkeng Wang, Ruijin You, Feng Zhao
Summary: The study showed that using two cannulated screws from anterior to posterior and a posterior anti-gliding plate for fixation of Hoffa fracture in 12 cases resulted in excellent outcomes, with all fractures achieving bony union and a good rate of 100% in Letenneur evaluation system.
Article
Pediatrics
Danielle S. Wendling-Keim, Sandra Teschemacher, Hans-Georg Dietz, Markus Lehner
Summary: A retrospective cohort study compared the outcomes of Kirschner wire fixation and screw fixation in treating distal humerus lateral condyle fractures in children. The study found a lower rate of complications with Kirschner wire fixation, and no nonunion cases were detected, suggesting that Kirschner wires are effective in managing these fractures.
EUROPEAN JOURNAL OF PEDIATRIC SURGERY
(2021)
Review
Orthopedics
Siddhartha Sinha, Arvind Kumar, Sanjay Meena, Javed Jameel, Owais A. Qureshi, Sandeep Kumar
Summary: Lateral condyle fractures in children are typically treated with Kirschner wires or cannulated screws. This systematic review aims to determine if screw fixation provides better union and functional outcomes.
INDIAN JOURNAL OF ORTHOPAEDICS
(2023)
Review
Orthopedics
Liu Yang, Feng Xia, Jia-chao Guo, Xiao-lin Wang, Jin-peng He, Jing-fan Shao
Summary: This case report presents a rare nonunion humeral medial condyle fracture (HMCF) in a 5-year-old patient caused by excessive functional exercise. The case highlights the rarity and low radiographic appearance of displaced HMCF in children, which can easily be overlooked. The authors emphasize the importance of vigilance and early re-examination and treatment in adolescents, regardless of the presence of symptoms or imaging abnormalities, to avoid complications.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Orthopedics
Xing Wu, Xiongtao Li, Shaowei Yang, Si Wang, Jingdong Xia, Xiaoliang Chen, Xiantao Shen
Summary: Ultrasound and arthrography evaluations of the integrity of the cartilage hinge status are highly consistent and can be used as a complementary tool to predict the integrity of the cartilage hinge status in children with minimally displaced lateral humeral condyle fractures.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2021)
Article
Orthopedics
Marcell Varga, Gergo Jozsa, Daniel Hanna, Mate Toth, Bence Hajnal, Zsofia Krupa, Tamas Kassai
Summary: In pediatric patients, surgical treatment with bioresorbable intramedullary implants for severely displaced distal forearm fractures may have fewer complications compared to K-wire osteosynthesis. The benefits are most pronounced in the first six weeks after surgery, reducing the number of outpatient visits and increasing the child's sense of comfort. After half a year, there is no difference in the outcomes between the different surgical treatment strategies.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Review
Orthopedics
Binbin Xing, Bin Dong, Xiaoling Che
Summary: This meta-analysis aimed to compare the efficacy and safety of two pinning fixation methods for treating supracondylar humeral fractures. The results showed that medial-lateral crossed entry pinning (MLP) was more effective in maintaining fixation, but had a higher risk of ulnar nerve injury compared to lateral-only entry pinning (LP). However, using a mini-open technique in the MLP group reduced the risk of ulnar nerve injury and ensured effective and safe treatment.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Review
Orthopedics
Yoon Joo Cho, Se Hyun Kang, Mu Hyun Kang
Summary: A meta-analysis comparing the outcomes of K-wire fixation and screw fixation for the treatment of lateral condyle fractures in pediatric patients showed that screw fixation reduces the risk of infection and limitation of range of motion compared to K-wire fixation.
BMC MUSCULOSKELETAL DISORDERS
(2023)
Article
Orthopedics
Jason L. Cummings, Maria T. Schwabe, Asdrubal E. Rivera, Julia Sanders, Jaime R. Denning, Kevin Neal, Laura L. Bellaire, Josh Choe, Natalie Gaio, Rachel Goldstein, Mary Crowe, Pooya Hosseinzadeh
Summary: This retrospective study compared the complications and union rates of K-wire fixation and screw fixation in the treatment of lateral humeral condyle fractures in children. The results showed that although the reoperation rate and elbow stiffness rate were higher in the K-wire fixation group, and there was also a higher rate of superficial skin infection, there was no significant difference in nonunion rates between the two groups. Therefore, screw fixation is a reasonable alternative treatment in these patients.
JOURNAL OF PEDIATRIC ORTHOPAEDICS
(2023)
Review
Pediatrics
Tim F. F. Saris, Denise Eygendaal, Bertram The, Joost W. Colaris, Christiaan J. A. van Bergen
Summary: Lateral humeral condyle fractures are commonly seen in children and carry a high risk of complications. The most common cause is a fall on the outstretched arm with forearm supination. Diagnosis can be confirmed through a physical examination and additional imaging. Treatment options vary based on the severity of the fracture and can include cast immobilization, closed reduction with percutaneous fixation, and open reduction with fixation. Complications such as overgrowth of the lateral condyle, infections, stiffness, deformities, and impaired healing may occur, making adequate follow-up important.
Article
Pediatrics
Giovanni Trisolino, Diego Antonioli, Giovanni Gallone, Stefano Stallone, Paola Zarantonello, Piergiuseppe Tanzi, Eleonora Olivotto, Luca Stilli, Giovanni Luigi Di Gennaro, Stefano Stilli
Summary: This retrospective study assesses outcomes in 27 children with neglected LHC fractures undergoing different treatments, finding that prolonged time interval between injury and treatment, as well as major perioperative complications, negatively impact treatment outcomes. The study highlights the need for widely agreed guidelines for surgical management in neglected LHC fractures.
Article
Orthopedics
Mohamed I. Abulsoud, Ahmed Saied Mohammed, Mohammed Elmarghany, Ahmed Elgeushy, Ehab Elzahed, Mohamed Moawad, Ehab A. Elshal, Mohamed F. Elhalawany, Yahia A. Hassanein, Amr A. Fouad, Ahmed R. Zakaria
Summary: This study aimed to analyze the results of internal fixation using intramedullary K-wires for displaced distal forearm fractures in children. The findings suggest that this technique prevents displacement and has a low complication rate.
BMC MUSCULOSKELETAL DISORDERS
(2023)