Pediatric distal humerus 13-M/3.2 III and IV

External fixator

External fixator

Main indication: Multifragmentary fractures that are unstable (length or angulation) with K-wires alone

Skill: Highly experienced and skilled surgeon
Equipment: Simple surgical and imaging resources

Indications

  • Multifragmentary fractures that are unstable (length or angulation) with K-wires alone
  • Difficulty in obtaining closed reduction (eg, long oblique fractures)
  • Difficulty in obtaining stable pin configuration
  • Revision of secondarily displaced, or imperfectly reduced, fractures, within 14 days of injury

Advantages

  • No need for cast or splint
  • Avoids open reduction
  • Early functional rehabilitation
  • Easier monitoring for compartment syndrome

Disadvantages

  • Technically more demanding
  • Radial nerve vulnerable
  • Risk of pin-track infection

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