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1General considerations

There is general agreement that reduction and fixation of supracondylar fractures types III and IV is necessary, as they are sometimes difficult to stabilize because of an oblique fracture line, or additional fragments.

The use of a small lateral external fixator allows a direct and minimally invasive reduction and fixation of all these types of supracondylar fractures.

This technique:

  • Allows early cast-free functional rehabilitation
  • Prevents angular redisplacement (especially cubitus varus) even in the presence of residual rotational mismatch
  • Is particularly helpful for flexion type fractures
  • Can be used in any age group

Removal is no more problematical than removal of percutaneous K-wires.