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Background: Supracondylar humeral fractures are the most prevalent elbow fractures in pediatric patients. Current treatment modalities typically involve closed reduction and fixation using percutaneous Kirschner wires. The lateral cross-wiring technique has demonstrated favorable functional and cosmetic outcomes, thereby reducing the incidence of ulnar nerve injury.

Objectives: This study aimed to assess the efficacy of the lateral cross-wiring technique in achieving optimal functional and cosmetic recovery while mitigating the risk of ulnar nerve injury in pediatric patients with displaced supracondylar humeral fractures.

Materials and Methods: A prospective analysis was conducted on 48 patients who underwent lateral cross-wiring for displaced supracondylar fractures (Gartland type III, including extension and flexion types) of the humerus. Follow-up assessments were performed over a minimum period of eight months post-surgery.

Results: Among the 48 patients, all demonstrated satisfactory restoration of the carrying angle and functional ability postoperatively. Notably, no iatrogenic cases of radial or ulnar nerve injury were observed during the follow-up period.

Conclusion: The lateral cross-wiring technique emerges as an effective treatment option for displaced supracondylar fractures of the humerus in pediatric patients. It facilitates both functional and cosmetic recovery while concurrently reducing the risk of ulnar nerve injury, thus warranting consideration in the management of such fractures.

Competing Interests: The authors have declared that no competing interests exist.

Titel:	Management of Pediatric Supracondylar Humerus Fractures Using Lateral Cross-Wiring Technique Under Fluoroscopic Guidance.
Autor/in / Beteiligte Person:	Phan, MD ; Vo, NQ ; Mai, TT ; Truong, QH ; Truong, KT ; Nguyen, PD
Link:	Zum Volltext
Zeitschrift:	Cureus, Jg. 16 (2024-04-25), Heft 4, S. e59029
Veröffentlichung:	Palo Alto, CA : Cureus, Inc., 2024
Medientyp:	academicJournal
ISSN:	2168-8184 (print)
DOI:	10.7759/cureus.59029
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [Cureus] 2024 Apr 25; Vol. 16 (4), pp. e59029. <i>Date of Electronic Publication: </i>2024 Apr 25 (<i>Print Publication: </i>2024). References: Clin Orthop Relat Res. 2014 Dec;472(12):3779-88. (PMID: 24532434) ; J Am Acad Orthop Surg. 1997 Jan;5(1):19-26. (PMID: 10797204) ; J Pediatr Orthop. 2002 Jul-Aug;22(4):440-3. (PMID: 12131437) ; Acta Orthop Scand. 1986 Aug;57(4):309-12. (PMID: 3788491) ; Surg Gynecol Obstet. 1959 Aug;109(2):145-54. (PMID: 13675986) ; Pediatr Emerg Care. 1997 Dec;13(6):425-34. (PMID: 9435010) ; J Pediatr Orthop. 1991 Mar-Apr;11(2):191-4. (PMID: 2010519) ; J Pediatr Orthop. 1998 Jan-Feb;18(1):43-5. (PMID: 9449100) ; J Bone Joint Surg Am. 1977 Oct;59(7):914-6. (PMID: 908722) ; J Pediatr Orthop. 2004 Jul-Aug;24(4):376-9. (PMID: 15205618) ; Orthop Clin North Am. 1990 Apr;21(2):269-89. (PMID: 2183131) ; J Pediatr Orthop. 1995 Jan-Feb;15(1):47-52. (PMID: 7883927) ; Injury. 2010 Jun;41(6):568-71. (PMID: 19782359) ; J Pediatr Orthop. 1995 Jul-Aug;15(4):435-9. (PMID: 7560029) ; J Bone Joint Surg Am. 1974 Mar;56(2):263-72. (PMID: 4375679) ; J Bone Joint Surg Am. 1994 Feb;76(2):253-6. (PMID: 8113261) ; J Child Orthop. 2007 Jul;1(2):127-33. (PMID: 19308485) Contributed Indexing: Keywords: lateral cross-wiring technique; pediatric fractures; supracondylar fracture; ulnar nerve injury; upper extremity trauma Entry Date(s): Date Created: 20240527 Latest Revision: 20240528 Update Code: 20240528 PubMed Central ID: PMC11127798

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Management of Pediatric Supracondylar Humerus Fractures Using Lateral Cross-Wiring Technique Under Fluoroscopic Guidance.