Do surgical technique and pin configuration influence clinical and radiological outcomes in pediatric supracondylar humerus fractures? a modified Flynn-based analysis.
Aug 2026· Musculoskeletal surgery· 0 citations· 6 references
Medicine
TL;DR
Both fixation methods provided satisfactory clinical and radiological outcomes when stable fracture reduction was achieved and the choice of pin configuration should be individualized according to fracture characteristics and intraoperative stability rather than applied routinely.
Crossed percutaneous K-wire fixation following closed reduction provides stable fixation and favourable clinical, cosmetic, and functional outcomes in appropriately selected children, although careful medial pin placement is essential to minimize ulnar nerve injury.
Parveez Ahmed Syed, K. S, Mahadev Gowda Prakhyath et al.· World Journal of Current Med...· 0 citations
In this retrospective comparative cohort, the modified medial para-olecranon technique was associated with favorable functional outcomes, shorter operative time, and fewer observed postoperative ulnar nerve injuries, although the difference in complications did not reach statistical significance, while maintaining comp...
H. Ibrahim, Abdulla Abdelwahab, Girgis Saad et al.· Children· 0 citations
For pediatric Gartland type III and IV supracondylar humeral fractures with significant lateral displacement, both ultrasound-guided closed reduction techniques achieve satisfactory clinical outcomes, but the unilateral K-wire intramedullary occupying technique is relatively simpler, with shorter operative time and few...
Wen-Qiang Xu, Wei Wang, Xiu-Lin Ma et al.· Frontiers in Surgery· 0 citations
Lateral-entry pinning avoided iatrogenic ulnar nerve injury in this series and should be preferred, with a medial wire reserved for demonstrably unstable constructs and placed by a mini-open technique.
Shubham V, Shubham Kathare, Varadraj Deshmukh et al.· Adolescência e Saúde· 0 citations
Within the commonly practiced third-to-fifth-week interval, timing of pin removal does not appear to influence final clinical outcomes in pediatric Gartland type 3 supracondylar humerus fractures.
N. Çevik, Y. Akalın, Hünkar Çağdaş Bayrak et al.· Acta Orthopaedica et Traumat...· 0 citations
Although arthroscopic fixation is currently the most commonly used technique, the mini-open approach represents a safe and effective alternative for selected displaced pediatric tibial eminence fractures, particularly when fracture characteristics or local resources limit the use of arthroscopy.
Michela Florio, Marco Giordano, Martina Marsiolo et al.· Frontiers in Surgery· 0 citations
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