Pediatric distal humerus 13-M/3.2 III and IV

Closed reduction; K-wire fixation

Closed reduction; K-wire fixation

Main indication: 13-M/3.2 III & IV fractures with minimal to moderate amounts of comminution

Skill: Some specialized surgical experience
Equipment: Simple surgical and imaging resources

Indications

  • 13-M/3.2 III & IV fractures with minimal to moderate amounts of comminution, or impaction

Contraindications

  • Multifragmentary fractures that would be unstable (length or angulation) with K-wires alone

Advantages

  • Better control of alignment of distal fragment compared with traction
  • Technically more straightforward than external fixator or ESIN
  • Reduced risk of malunion

Disadvantages

  • Does not control length as well as traction, or external fixator

Legend

*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

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v1.0 2016-12-01