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
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)
Article
Pediatrics
Huanan Bai, Qingda Lu, Xiaoju Liang, Xiaoming Wang, Yating Yang, Huan Wang, Jiaju Wang, Qiang Jie
Summary: This study aims to find the optimal arrangement of Kirschner wire (K-wire) in the sagittal plane for fixing pediatric lateral condylar humeral fractures. By using finite element analysis, a model of the fracture was developed and different configurations of K-wire were evaluated. The results showed that an angle of -60 degrees between the two pins in the sagittal plane provided the highest level of stability, with divergent configurations being superior to parallel pinning at this angle.
FRONTIERS IN PEDIATRICS
(2023)
Review
Pediatrics
A. de Beer, M. J. Brown
Summary: Hoffa fractures are rare in both adults and children, and can occur not only through bone but also through the chondral layer in younger patients. Prompt diagnosis through MRI imaging allows for timely operative fixation, and the use of an arthroscopic-only approach minimizes tissue damage. Hyperflexion of the knee allows for anatomic reduction and stabilization of the fracture, with the placement of minimally invasive bio-compression fixation.
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
Orthopedics
Yingya Jiao, Yanhui Suo, Junlin Chen, Ruihai Yan, Zhongqiang Yuan, Yinhu Shi, Cheng Chang, Meng Wei
Summary: This retrospective study evaluated the feasibility and clinical effect of using suture anchor combined with external fixation in the treatment of lateral femoral condyle Hoffa fracture. The results demonstrated that this method was effective with minimal complications.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Article
Dentistry, Oral Surgery & Medicine
Lifeng Li, Kiran Acharya, Bedana Ghimire, Yanqiu Li, Xiaotao Xing, Xiaoru Hou, Lingnan Hou, Xiaoyi Hu
Summary: This article discusses the effective management of mandibular fractures in pediatric patients during the growing phase using splint fiber and ligature wire. The study analyzed the medical records of pediatric patients with mandibular fractures treated with the Quartz fiber and ligature wire technique. The results showed that this technique was successful in treating mandibular fractures in pediatric patients without any complications or malocclusion.
Article
Orthopedics
Callie S. Bridges, Tristen N. Taylor, Lon Kai Pang, Dorothy H. Beauvais, Megan M. May, Brian G. Smith
Summary: This study retrospectively reviewed pediatric patients who underwent surgical treatment for lateral humeral condyle fractures at a children's hospital from 2012 to 2022. The results showed that 1.4% of patients developed infections and 1.2% developed nonunions. Infections required hospitalization, surgery, and antibiotic treatment, while nonunions required prolonged immobilization, surgery, and rehabilitation.
JOURNAL OF PEDIATRIC ORTHOPAEDICS
(2023)
Review
Orthopedics
Siyuan Zhang, Si Heng Sharon Tan, Andrew Kean Seng Lim, James Hoi Po Hui
Summary: This systematic review and meta-analysis aimed to investigate the impact of timing and method of fixation on surgical outcomes in pediatric lateral condyle non-union. The results showed that the timing of surgical fixation did not significantly affect postoperative bony union, but undergoing fixation at an older age was associated with reduced postoperative elbow range of motion (ROM). Percutaneous fixation was associated with lower rates of postoperative union compared to open fixation, while anatomical reduction was associated with reduced postoperative elbow ROM compared to in situ fixation.
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
(2022)
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)
Article
Orthopedics
Hongyu Meng, Bin Xu, Yi Xu, Haiyun Niu, Ning Liu, Donglei Sun
Summary: This retrospective study evaluated the use of percutaneous fixation with a cemented K-wire frame for the treatment of types A2, A3, and B1 distal radius fractures. The study found that this technique is safe and effective, with high success rates, no fixation failure or K-wire migration, and no occurrence of osteomyelitis. Patients showed excellent wrist function and high satisfaction levels.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Medicine, General & Internal
Chang Hyun Choi, Hyun-Gyu Seok, Sam-Guk Park
Summary: The study presents a novel surgical technique for treating ulnar coronoid process fractures, showing that it effectively reduces symptoms and improves elbow function in patients.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Orthopedics
Madan Mohan Sahoo, Udit Sourav Sahoo, Manoranjan Jena
Summary: This study aimed to compare the outcomes of buried and exposed Kirschner wires for pediatric lateral condyle fractures of the humerus. The results showed that the infection rate was lower in the buried Kirschner wire group, but there were no significant differences in union time, range of motion, carrying angle, or condyle hypertrophy. Therefore, it is recommended to bury Kirschner wires, especially when meticulous pin tract care is questionable.
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B
(2022)
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)
Article
Orthopedics
Wu Wang, Min Zeng, Junxiao Yang, Long Wang, Jie Xie, Yihe Hu
Summary: Treating first metacarpal base fractures with closed reduction and percutaneous parallel K-wire interlocking fixation is effective in achieving good functional recovery of the injured hand. The modified technique group showed advantages over the traditional technique group in terms of shorter operative time, lower postoperative pain scores, and better range of motion, allowing for early functional exercise initiation. Patients felt clinically well with respect to daily activities and strength.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2021)