Changing the Management from Olecranon Screw Traction to Percutaneous Wiring for Displaced Supracondylar Fractures of the Humerus in Children. A Justified Decision?

Background And Purpose: In this institution, the management of displaced (Gartland III) supracondylar fractures in children was changed from overhead olecranon screw traction to manipulation and percutaneous wiring in 1996. The purpose of this study was to compare the two methods of treatment and observe whether the decision to change management was justified.

Methods: A retrospective study of two cohorts; 151 patients between 1986 and 1996 treated with olecranon screw traction and 92 patients between 1996 and 2002 treated with percutaneous wiring.

Top tips for RIGIDfix femoral fixation.

The use of pin fixation for grafts in the femoral tunnel in anterior cruciate ligament (ACL) reconstruction is becoming more popular. The transtibial stiff femoral guides are necessary to ensure that the pins fix the graft. However, the cross pins can sometimes miss the femoral tunnel.