Introduction: Lateral condyle fractures are the second most common pediatric elbow fracture. There exist multiple options for internal fixation including buried K-wires, unburied K-wires, and screw fixation. Our study aims to review the current literature and determine if fixation strategy affects outcomes to include fracture union, postoperative range of motion, and need subsequent surgery.
Methods: A systematic review of Pubmed, MEDLINE, and EMBASE databases was performed. Included articles involve pediatric patients with displaced lateral condyle fractures treated with internal fixation that reported outcomes to include union rates and complications.
Results: Thirteen studies met inclusion criteria for a total of 1299 patients (472 buried K-wires, 717 unburied K-wires, and 110 screws). The patients' average age was 5.8 ± 0.6 years, male (64%), and had 16.3 months of follow-up. No differences in union and infection rates were found. Unburied K-wires had the shortest time to union and the greatest elbow range of motion postoperatively.
Conclusions: Our systematic review demonstrates similar outcomes with union and infection rates between all fixation techniques. Unburied K-wires demonstrated a shorter time to union and the greatest postoperative range of motion. Additionally, unburied K-wires may be removed in clinic, decreasing the cost on the healthcare system.
Evidence: Level 3.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9121294 | PMC |
| http://dx.doi.org/10.1177/17585732211010299 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Open reduction of pediatric lateral condyle fractures: a systematic review.
Shoulder Elbow
June 2022
Department of Pediatric Orthopedics, Shriner's Hospital for Children, Salt Lake City, UT, USA.
Introduction: Lateral condyle fractures are the second most common pediatric elbow fracture. There exist multiple options for internal fixation including buried K-wires, unburied K-wires, and screw fixation. Our study aims to review the current literature and determine if fixation strategy affects outcomes to include fracture union, postoperative range of motion, and need subsequent surgery.
View Article and Find Full Text PDFIntroduction: Supracondylar fracture of the humerus can be considered the most serious fracture in childhood. Problems with its diagnostics and treatment as well as its complications and sequels have not been fully solved yet. That is evidenced by a large amount of articles with frequently inconsistent conclusions.
View Article and Find Full Text PDFUnburied versus buried wires for fixation of pediatric lateral condyle distal humeral fractures: A meta-analysis.
Medicine (Baltimore)
August 2017
Department of Orthopedics, Tianjin Medical University General Hospital, Tianjin, R.P. China.
Open reduction and internal fixation with Kirschner (K) wires has been reported as an efficient and convenient technique for pediatric lateral condyle distal humeral fractures. However, no single study has been large enough to definitively determine whether the K-wires should be buried or unburied. Therefore, we performed a meta-analysis pooling the results from several clinical trials to compare the outcome of using buried versus unburied K-wires.
View Article and Find Full Text PDFRisk of infection and secondary displacement in pediatric supracondylar or lateral condyle fractures treated with unburied Kirchener-wires removed before complete bone healing.
J Pediatr Orthop B
May 2017
aDepartment of Pediatric Surgery, University Hospital Estaing bCHU Clermont-Ferrand, Biostatistics Unit, DRCI, Clermont-Ferrand cDepartment of Spine Surgery, University Hospital of Strasbourg, Federation of Translational Medicine, Strasbourg, France dDepartment of Pediatric Orthopedic Surgery, Regina Margherita Children's Hospital, Torino, Italy.
This study evaluated the risk of infection and of secondary displacement among children with displaced lateral condyle or supracondylar fractures treated by surgery. The study included a consecutive sample of 84 supracondylar fractures and 21 lateral condyle fractures treated with closed reduction and percutaneous pinning. The mean time to Kirchener wire removal was 29 days (range: 25-37 days) postsurgery.
View Article and Find Full Text PDFBuried versus unburied Kirschner wires in the management of paediatric lateral condyle elbow fractures: a comparative study from a tertiary centre.
J Pediatr Orthop B
January 2016
Alder Hey Children's Hospital, Liverpool, UK.
There is little consensus on whether Kirschner wire (K-wire) burial is preferable in the management of paediatric lateral humeral condyle fractures. We identified 124 patients from May 2008 to August 2014. Sixty received buried K-wires and 64 received unburied wires.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!