Do surgical technique and pin configuration influence clinical and radiological outcomes in pediatric supracondylar humerus fractures? a modified Flynn-based analysis.
Aug 2026· Musculoskeletal surgery· 0 citations· 6 references
Medicine
TL;DR
Both fixation methods provided satisfactory clinical and radiological outcomes when stable fracture reduction was achieved and the choice of pin configuration should be individualized according to fracture characteristics and intraoperative stability rather than applied routinely.
Crossed percutaneous K-wire fixation following closed reduction provides stable fixation and favourable clinical, cosmetic, and functional outcomes in appropriately selected children, although careful medial pin placement is essential to minimize ulnar nerve injury.
Parveez Ahmed Syed, K. S, Mahadev Gowda Prakhyath et al.· World Journal of Current Med...· 0 citations
Highlights What are the main findings? Modified medial para-olecranon pinning was associated with favorable Flynn functional outcomes compared with conventional crossed pinning. The modified technique was associated with shorter operative time and fewer observed postoperative ulnar nerve injuries while maintaining comp...
Hassan Salah Ibrahim, Abdulla Abdelwahab, Girgis Saad et al.· Children· 0 citations
Objective To investigate the clinical efficacy of unilateral Kirschner wire (K-wire) intramedullary occupying technique for flexible reduction combined with ultrasound guidance in the treatment of pediatric supracondylar humeral fractures. Methods A retrospective analysis was conducted on 41 patients with Gartland type...
Wen-Qiang Xu, Wei Wang, Xiu-Lin Ma et al.· Frontiers in Surgery· 0 citations
Lateral-entry pinning avoided iatrogenic ulnar nerve injury in this series and should be preferred, with a medial wire reserved for demonstrably unstable constructs and placed by a mini-open technique.
Shubham V, Shubham Kathare, Varadraj Deshmukh et al.· Adolescência e Saúde· 0 citations
Within the commonly practiced third-to-fifth-week interval, timing of pin removal does not appear to influence final clinical outcomes in pediatric Gartland type 3 supracondylar humerus fractures.
N. Çevik, Y. Akalın, Hünkar Çağdaş Bayrak et al.· Acta Orthopaedica et Traumat...· 0 citations
Background Tibial eminence fractures are uncommon pediatric injuries that often require surgical fixation. Although arthroscopic fixation is widely adopted, the role of mini-open physeal-sparing techniques remains incompletely defined. This study evaluated the medium- and long-term clinical and radiographic outcomes of...
Michela Florio, Marco Giordano, Martina Marsiolo et al.· Frontiers in Surgery· 0 citations
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