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Fractures: Bone Repair

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...

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Related Experiment Video

Updated: Jan 10, 2026

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

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Lateral Condyle Fractures: Kirschner Wire or Screw Fixation?

Julia L Conroy, Alexandra Miller Dunham, Matthew Stepanovich

Instructional Course Lectures

|November 25, 2025

Summary

Pediatric lateral condyle humerus fractures are common. Management varies by displacement, with surgical options including Kirschner wires or cannulated screws, each with pros and cons.

Area of Science:

Orthopedic Surgery
Pediatric Orthopedics
Traumatology

Background:

Lateral condyle fractures of the distal humerus are the second most common elbow fracture in children.
These intra-articular fractures pose risks for growth disturbances and require careful management based on displacement and rotational deformity.

Purpose of the Study:

To review the management of pediatric lateral condyle humerus fractures.
To compare fixation methods, specifically Kirschner wires versus cannulated screws, for displaced fractures.

Main Methods:

Review of current literature on lateral condyle humerus fracture management.
Discussion of non-surgical and surgical treatment options, including closed and open reduction with internal fixation.
Comparison of Kirschner wire fixation and cannulated screw fixation regarding stability, infection rates, elbow stiffness, and need for secondary surgery.

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Main Results:

Nondisplaced or minimally displaced fractures are managed non-surgically.
Displaced fractures (>2 mm) require surgical intervention.
Cannulated screws offer improved stability and lower infection/stiffness rates but often necessitate hardware removal.
Kirschner wires provide satisfactory outcomes without secondary surgery but may involve longer immobilization and a palpable bump.

Conclusions:

Both Kirschner wire and cannulated screw fixation are viable options for displaced lateral condyle humerus fractures.
Surgeons should weigh the advantages and disadvantages of each fixation method, including patient factors and surgeon preference, when selecting treatment.
The choice of fixation impacts post-operative recovery, immobilization duration, and the potential need for hardware removal.