Related Experiment Videos
Percutaneous pinning of supracondylar fractures of the humerus
Insights
This study presents a modified technique for treating pediatric supracondylar humerus fractures using lateral Kirschner wire insertion. This method offers similar benefits to traditional pinning while avoiding ulnar nerve injury.
Area of Science:
- Pediatric Orthopedics
- Skeletal Trauma
- Surgical Techniques
Background:
- Supracondylar humerus fractures are common in children.
- Current treatments like percutaneous pinning carry risks, including ulnar nerve injury.
Purpose of the Study:
- To evaluate a modified closed reduction and percutaneous pinning technique for pediatric supracondylar humerus fractures.
- To assess the safety and efficacy of lateral Kirschner wire insertion through the capitellum.
Main Methods:
- Six pediatric cases of supracondylar humerus fracture were treated.
- The technique involved closed reduction and percutaneous pinning using two Kirschner wires inserted laterally through the capitellum.
Main Results:
- The modified technique demonstrated effectiveness in treating these fractures.
- This approach successfully avoided the risk of ulnar nerve damage associated with medial Kirschner wire insertion.
Conclusions:
- Lateral Kirschner wire insertion through the capitellum is a viable alternative for pediatric supracondylar humerus fractures.
- This technique provides comparable benefits to traditional methods while enhancing safety by eliminating ulnar nerve injury risk.
Abstract:
Six cases of supracondylar fracture of the humerus in children were treated by closed reduction and percutaneous pinning with two Kirschner wires inserted laterally through the capitellum of the humerus. This treatment has the same advantages as the commonly used percutaneous pinning with crossed Kirschner wires inserted through the epicondyles of the humerus, and it further eliminates the risk of damaging the ulnar nerve by the insertion of the medial Kirschner wire.