A new procedure for fractures of the medial epicondyle in children: Mitek® bone suture anchor

Abstract We present a new bone suture anchor technique for fractures of the medial epicondyle. The hypothesis was that the results would be similar to those with the divergent K-wire fixation. This retrospective study included 40 patients who presented with displaced fractures of the medial epicondy...

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Bibliographic Details
Published in:Orthopaedics & traumatology, surgery & research surgery & research, 2016-02, Vol.102 (1), p.117-120
Main Authors: Rigal, J, Thelen, T, Angelliaume, A, Pontailler, J.-R, Lefevre, Y
Format: Article
Language:English
Subjects:
Bone suture anchor
Bone Wires
Child
Elbow Joint - surgery
Female
Fracture Fixation, Internal
Fracture Healing
Humans
Humeral Fractures - surgery
Male
Medial epicondyle fracture
Orthopedics
Pediatric traumatology
Retrospective Studies
Surgery
Suture Anchors
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Summary:Abstract We present a new bone suture anchor technique for fractures of the medial epicondyle. The hypothesis was that the results would be similar to those with the divergent K-wire fixation. This retrospective study included 40 patients who presented with displaced fractures of the medial epicondyle: one group was treated with a Mitek® non-resorbable bone suture anchor (group A: n = 21), the other by K-wire fixation (group B: n = 19). A medial approach was taken with an anchor placed above the olecranon fossa. The epicondyle was then repositioned by bone suture. After a mean follow-up of 18.6 months, union was obtained in all epicondyles. There was no difference in flexion-extension of the elbow. The rate of hypertrophy of the medial epicondyle was similar in both groups (57%). The bone suture anchor of the medial epicondyle is an effective technique that does not require hardware removal and is an alternative treatment option to divergent K-wire fixation.
ISSN:1877-0568
1877-0568
DOI:10.1016/j.otsr.2015.09.035