|
KMID : 0359420230410010019
|
|
Korean Journal of Sports Medicine
2023 Volume.41 No. 1 p.19 ~ p.26
|
|
|
Operative Treatment of Medial Epicondyle Fractures in Pediatric and Adolescent Patients: Comparative Study of Internal Fixation with Kirschner Wires or Cannulated Screws
|
|
Jung Hong-Jun
Hyun Chung-Su
Lee Kwan-Soo
Park Ho-Youn
|
|
|
Abstract
|
|
|
Purpose : Medial epicondyle fractures are a common elbow injury in pediatric and adolescent patients. The managementof these fractures continues to be debated. This study aims to review the long-term clinical and radiological outcomesof operative treatment of medial epicondyle fractures in pediatric and adolescent patients.
Methods: In this study, 24 consecutive patients were categorized into two groups as follows: group 1, 10 patientsundergoing internal fixation with Kirschner wires (K-wires) and group 2, 14 patients undergoing internal fixation with can nulated screws. To assess clinical outcomes, Mayo Elbow Performance Score were used in addition visual analogue scalefor pain, subjective range of motion, ulnar nerve irritation symptoms, residual instabilities and requirement for secondarysurgery were checked. To access the radiological outcomes, check the bone union and possible deformities secondaryto the medial epicondyle fractures were examined.
Results: There were no cases of immediate or residual ulnar nerve irritation symptoms and no cases of residual deformityor valgus instability. There was no radiological evidence of loss of reduction and all patients had achieved bone union at lastfollow-up. And all patients had performed secondary surgery for hardware removal regardless of symptomatic hardwareirritation.
Conclusion: Both K-wires fixation for younger children and screw fixation for near skeletal maturity children may providefavorable clinical and radiological outcomes at long-term follow-up, with low morbidity and radiographic deformity. In theK-wire fixation group, it is thought that preoperative explanation is needed because the K-wires tends to be removedearlier than screw fixation group due to hardware irritation.
|
|
|
KEYWORD
|
|
|
Elbow fractures, Medial epicondyle, Pediatric, Trauma
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|