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Related Concept Videos

Fractures: Bone Repair01:27

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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: May 6, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Pediatric Lateral Condyle Fractures Pins or Screw?

Alexander B White1,2, Risa Reid1,2, G Dillon Graham1,2

  • 1Levine Children's Hospital, Atrium Health Carolinas Medical Center.

Journal of Pediatric Orthopedics
|May 5, 2026
PubMed
Summary

Screw fixation for pediatric lateral elbow fractures is as effective as pin fixation, allowing faster removal from casts without impacting healing or motion. This study compared fixation methods in young patients.

Keywords:
K-wirelateral condyle fracturenonunionpediatric orthopaedicspin fixationscrew fixation

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Area of Science:

  • Orthopedic Surgery
  • Pediatric Orthopedics
  • Trauma Surgery

Background:

  • Pediatric lateral condyle elbow fractures are common.
  • Operative fixation is often required for displaced fractures.
  • Comparing fixation methods is crucial for optimal outcomes.

Purpose of the Study:

  • To compare clinical, radiographic, and functional outcomes of pin versus screw fixation for pediatric lateral condyle elbow fractures.
  • To determine if screw fixation is non-inferior to pin fixation.

Main Methods:

  • Prospective observational cohort study of skeletally immature patients (<18 years) with Weiss type 2 and 3 lateral condyle fractures.
  • Patients received either pin or screw fixation.
  • Non-inferiority analytical framework used for comparison.

Main Results:

  • No significant difference in time to radiographic union or complication rates between pin and screw fixation.
  • Screw fixation group had a mean of 8 fewer days in cast immobilization.
  • Two cases of nonunion and two of avascular necrosis occurred in the pin fixation group; none in the screw group.

Conclusions:

  • Screw fixation is non-inferior to pin fixation for pediatric lateral condyle elbow fractures.
  • Screw fixation allows for faster cast removal without compromising union time or range of motion.
  • While complication rates were similar, screw fixation avoided specific complications like nonunion seen with pins.