Modified screw fixation technique for medial epicondyle fractures to reduce complications and improve stability of fixation.

ABSTRACT:

Purpose

Open reduction internal fixation of paediatric medial epicondyle (ME) fractures can be technically challenging. The pull of the common flexor origin, ulnar nerve proximity, narrow ideal screw trajectory and sometimes fragmented epicondyle piece can make reduction difficult and lead to complications. Concern for tenuous fixation can lead to longer immobilization, placing the elbow at risk of stiffness. We describe a modified technique for screw fixation of ME fractures, with the goal of reducing complications and improving the stability of fixation.

Methods

The modified technique includes insertion of a guidewire and pre-drilling for the screw prior to any fracture reduction, suture-assisted mobilization and control of the ME fragment, and conversion of the suture int

SUBMITTER: Haward C 

PROVIDER: S-EPMC12665581 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature