Lateral external fixation plus K-wire for pediatric supracondylar humeral fracture with medial comminution: a retrospective study of 53 cases in a tertiary medical center.

ABSTRACT:

Background

Medial comminuted supracondylar humeral fracture (SCHF) is a common elbow injury in children, and there is no consensus on treatment yet. While crossed pinning offers biomechanical advantages for medial comminution, it carries inherent risks of iatrogenic ulnar nerve injury. This study aims to describe the surgical technique of lateral external fixation (LEF) combined with K-wire (KW) as an alternative technique and evaluate the clinical and radiological outcomes of this method.

Methods

We retrospectively analyzed 53 children (mean age 7.1 years; 28 males, 25 females) with Gartland type II (n=9) and III (n=44) SCHFs with medial comminution, treated between January 2019 and January 2022. All fractures were fixed with LEF and KW. Functional outcomes were assessed us

SUBMITTER: He X 

PROVIDER: S-EPMC12433043 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature