Online ISSN: 2515-8260

Keywords : K-wires

Comparison Of Orif With Ccs And K Wire For Lateral Condyle Fractures In Children

Dr. Nikhil Gupta, Dr. Sunil Kumar Sharma, Dr. Abdul Basit, Dr. Sanjeev Gupta, Dr. Rashid Anjum, Dr. Dinesh Kumar Chadgal, Dr. Aakash Deep .

European Journal of Molecular & Clinical Medicine, 2023, Volume 10, Issue 1, Pages 2569-2574

Aim: The study's objective was to evaluate the effectiveness of Kirschner wires (K-wire) and cannulated cancellous screws (CC) for internal fixation of paediatric patients with displaced lateral humeral condyle fractures.
Materials and Methods: The study comprised 46 individuals with a displaced lateral condyle fracture of the humerus. Open reduction and internal fixation were used to treat the patients using two K-wires or 4mm CC screw. Clinical outcomes were assessed using Hardacre et al. criteria, and fractures were categorised using Milch classification.
Results: Each group contained 23 patients, with a mean age of 6.57 years (range 2 to 12 years). Compared to Milch type I (n=12), Milch type II was more prevalent (n=34). The average time for fracture union was 4.13 weeks for the CC screw group and 4.61 weeks for the K-wire group. P value equals 0.026. K-wires and CC screws were typically removed at 4.57 weeks and 13.57 weeks, respectively. The average follow-up for the K-wire group was 12.52 months, compared to 13.83 months for the CC screw. In the K-wire group, three patients (6.5%) had superficial pin site infection, two patients (4.3%) had lateral condyle prominence, and only one patient (2.2%) had lateral condyle prominence in the CC screw group.
Conclusion: For displaced lateral condyle fractures of the humerus, open reduction and internal fixation with K-wires or cannulated cancellous screws are both effective treatment options. However, screw fixation offers absolute stability at the fracture site, improving fracture healing, lowering the risk of lateral prominence, and enabling early range of motion and activity in the affected elbow.

Results of lateral closed wedge osteotomy and k-wire fixation for correction of cubitus varus: A prospective study

Dr. Hemant Rathod, Dr. Parimal Patel, Dr. Ghanshyam Jagani .

European Journal of Molecular & Clinical Medicine, 2023, Volume 10, Issue 1, Pages 4586-4593

Background: Cubitus varus is the most frequent post-traumatic late consequence of paediatric displaced supracondylar humeral fractures. Malunion is the most common cause of these deformities. Commonly present as cosmetic deformity but it may also cause increased chances of lateral humeral condyle fractures, posterolateral instability of the elbow, and tardy ulnar nerve palsy. Different types of corrective osteotomies have been described from simple wedge osteotomy to complex three-dimentional osteotomy but none with consensus. We conducted this study to evaluate the results of a simple lateral closed wedge osteotomy fixed with K-wires in these patients.
Aim and Objectives: To study the functional and radiological outcomes of a lateral closed wedge osteotomy fixed with K-wires to correct cubitus varus.
Materials and Methods: Twenty children with malunited supracondylar fracture humerus leading to cubitus varus deformity underwent lateral closed wedge osteotomy, which was fixed with K‑wires. Patients were evaluated for elbow range of motion, carrying angle, radiological correction of humeroulnar angle and complications if any.

Results of Medullary Fixation of Fracture of Forearm Bones in Children by K-Wires

Ahmed Hashem Amin, Riad Mansour Megahed, Fahmy Samir Fahmy, Ahmed Hassan Abd El AzeimHamed

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 2780-2788

Background:More than 90% of forearm fractures in children are treated
conservatively with good results. Therefore, it is very important to recognize those
fractures that cannot be successfully treatedconservatively.Operative management
includeeither intramedullary fixation or plates and screws fixation.The aim of the
present study was to evaluate short term results of intramedullary fixation for
management of diaphyseal forearm fractures in children.Patients and
methods:prospective study included 30 skeletally immature patients with forearm
fractures who were treated by intramedullary k wires. In all patients, a detailed
motor and sensory examination of the ulnar, radial, and median nerves was done to
exclude associated nerve injury. Patients were followed up for 6 months.Results:
The mean age of was 9.53 ± 2.2years, with the youngest being 6 years and the oldest
14 years. The distribution of the gender in the current study was 25 males (83.3%)
and 5 females (16.7%). Regarding the mechanism of trauma; majority of our studied
cases (93.3%) bones forearm fractures resulting from falling on outstretched hand
(FOOSH), one patient (3.3%) was resulting from road traffic accidents (RTA) and
one patient (3.3%) was resulting from directtrauma. Twenty eight patients were
right-handed and 2 patients were left handed. The Right side was affected in 22
patients (73.3%) and the left side was affected in 8 patients (26.7%). Majority of
fractured bones were middle 1/3 fracture, while five cases were lower 1/3 fracture
and only 2 cases were proximal 1/3 fracture.Two cases only had open fracture
(6.7%) while the majority of cases had closed fracture (93.3%).Days from injury to
operation was ranged from (0) to (5) days with an average of (1.97 ±1.79) days.
Majority of our studied cases underwent open reduction (86.79%) while only 4
cases (13.3%) underwent closed reduction of the fractured bones. The patients were
assessed three months post operatively using the Outcome Grading System. Twenty
two cases (73.3%) showed excellent outcome. Eight cases (26.7%) showed good
outcome. No cases with fair or poor outcomes. Conclusion:Intramedullary
nailsseems to be safe, more easily not expensive and effective in the management of
both bone forearm fractures in children between 4 and 14 years of age.