Toxic shock syndrome post open reduction and Kirschner wire fixation of a humeral lateral condyle fracture

Abstract Introduction The treatment of the displaced fracture of the lateral condyle of the distal humerus in children aims not only to avoid nonunion, malalignment, and impairment of the range of motion of the elbow but also to prevent delayed healing and the development of any prearthrotic deformity. To date there is no agreement on what kind of osteosynthesis should be used. So far, the screw fixation and Kirschner wire fixation have both been applied. Therefore, the goal of this study was to compare the outcome of these two methods. Materials and Methods A retrospective cohort study was undertaken including 43 patients aged 2 to 13 years who underwent osteosynthesis for a condylar fracture of the humerus over a period of 10 years. The electronic archive, including the radiological diagnostics, was analyzed. Statistical analysis was performed using IBM SPSS Statistics 20.0. Statistical significance was set at an α level of p = 0.05. Results Kirschner wire fixation was performed in 48.9% of condylar fractures of the humerus while screw fixation (alone or in combination with a pin) was assessed with a percentage of 51.1% of the cases in this study. Screw fixation only was applied in 20.9% of fractures of the lateral condyle. The selection of the method was independent of the age of the patient (p = 0.2). The comparison of the rate of complications and an impaired range of motion after Kirschner wire osteosynthesis to the rate after screw osteosynthesis showed a significantly lower percentage for the Kirschner wire group (p = 0.046). No case of nonunion, nerve palsy, or pin migration was detected in any patient in this study. Conclusion Kirschner wire fixation of condylar humeral fractures in children resulted in a lower rate of complications than screw fixation. No case of nonunion of the fracture was found in the patients that we investigated so that we conclude that Kirschner wires sufficiently adapt the fracture in these cases. Level of Evidence Level III.

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Non-Union in a Fracture of the Shaft of the Distal Phalanx

HAND ◽

10.1016/s0072-968x(82)80049-1 ◽

1982 ◽

Vol os-14 (1) ◽

pp. 85-88 ◽

Cited By ~ 9

Author(s):

L. Read

Keyword(s):

Open Reduction ◽

Kirschner Wire ◽

Middle Finger ◽

Distal Phalanx ◽

Non Union ◽

Shaft Fractures ◽

Kirschner Wire Fixation ◽

Wire Fixation ◽

Type Of Fracture

Fracture of the shaft of the distal phalanx is less common than more distal fractures involving the tuft: non-union in such a fracture is even more unusual. A case is described in which troublesome non-union of the shaft of the distal phalanx of the middle finger was successfully treated by open reduction and Kirschner wire fixation. The type of fracture and its treatment is discussed: it is emphasised that the principles applied to shaft fractures of the middle and proximal phalanges also apply to the distal phalanx.

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Functional outcomes and cost estimation for extra-articular and simple intra-articular distal radius fractures treated with open reduction and internal fixation versus closed reduction and percutaneous Kirschner wire fixation

Canadian Journal of Surgery ◽

10.1503/cjs.22712 ◽

2013 ◽

Vol 56 (6) ◽

pp. 378-384 ◽

Cited By ~ 17

Author(s):

Ivan Dzaja ◽

Joy C. MacDermid ◽

James Roth ◽

Ruby Grewal

Keyword(s):

Internal Fixation ◽

Distal Radius ◽

Cost Estimation ◽

Closed Reduction ◽

Functional Outcomes ◽

Open Reduction ◽

Kirschner Wire ◽

Radius Fractures ◽

Kirschner Wire Fixation ◽

Wire Fixation

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Isolated Carpal Dislocation Of The Trapezium

Serbian Journal of Experimental and Clinical Research ◽

10.1515/sjecr-2015-0008 ◽

2015 ◽

Vol 16 (1) ◽

pp. 51-54

Author(s):

Bekir Eray Kilinc ◽

Adnan Kara ◽

Mehmet Mesut Sonmez ◽

Yunus Oc ◽

Savas Camur

Keyword(s):

Open Reduction ◽

Unusual Case ◽

Kirschner Wire ◽

Stable Fixation ◽

Dorsal Approach ◽

Adequate Treatment ◽

Direct Trauma ◽

Kirschner Wire Fixation ◽

Radiological Images ◽

Wire Fixation

ABSTRACTTrapezium fractures and dislocations of the trapezium are both extremely rare injuries whether they occured with or without fractures of the surrounding bones. Specific radiological images can be difficult to help for the diagnosis. CT scan may be necessary for the diagnosis and adequate treatment. We are presenting an unusual case of volar and radial isolated trapezium dislocation concomitant second metacarpal basis fracture in which is treated by using open reduction and Kirschner wire fixation. In our case, isolated dislocation of trapezium was a result of violent and direct trauma. Different techniques have been proposed to achieve a stable fixation and the treatment outcomes. In our case, open reduction, Kirschner wire fixation and intercarpal ligament repair through dorsal approach are recommended for satisfactory outcomes in similiar cases.

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Lateral Condyle Fracture of Tibia Treated by Open Reduction and Internal Fixation

Journal of the Korean Fracture Society ◽

10.12671/jksf.1996.9.1.137 ◽

1996 ◽

Vol 9 (1) ◽

pp. 137

Author(s):

Jong-Min Sohn ◽

Ju-Hai Chang ◽

Dong-Heon An ◽

Soo-An Park

Keyword(s):

Internal Fixation ◽

Open Reduction ◽

Lateral Condyle ◽

Lateral Condyle Fracture ◽

Condyle Fracture

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Open Reduction-Internal Fixation of a Navicular Body Fracture with Dorsal Displacement of the First and Second Cuneiforms

Journal of the American Podiatric Medical Association ◽

10.7547/1030246 ◽

2013 ◽

Vol 103 (3) ◽

pp. 246-249 ◽

Cited By ~ 2

Author(s):

Robert C. Andersen ◽

Katherine Neiderer ◽

Billy Martin ◽

James Dancho

Keyword(s):

Internal Fixation ◽

Open Reduction ◽

Revisional Surgery ◽

Kirschner Wire ◽

Open Reduction Internal Fixation ◽

Kirschner Wire Fixation ◽

Body Fracture ◽

Wire Fixation ◽

Ligamentous Reconstruction

Body fractures of the tarsal navicular are relatively uncommon. To date, there is little literature discussing a navicular body fracture with dorsal subluxation of the first and second cuneiforms over the navicular. This case study presents a 30-year-old patient with this injury. He underwent open reduction internal fixation of the navicular body fracture successfully but failed adequate reduction of the navicular cuneiform joint after ligamentous reconstruction. After revisional surgery, he also failed 6 weeks of percutanous pinning with Kirschner-wire fixation. When comparing the literature of a similar injury, the Lisfranc fracture disclocation, the same principles may apply. One should consider rigid open reduction internal fixation or even primary fusion to treat disclocation of the naviculocuneiform joint following a navicular body fracture. (J Am Podiatr Med Assoc 103(3): 246–249, 2013)

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