Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Jan 1;33(1):70-75.
doi: 10.1097/BPB.0000000000001086. Epub 2023 Apr 11.

Treatment of pediatric femur supracondylar fractures: comparison of K-wire fixation versus plate-screw fixation

Sezgin Bahadir Tekin  1 , Çağri Karabulut  1 , Bahri Bozgeyik  2 , H Bahadir Gökçen  3
Affiliations

Treatment of pediatric femur supracondylar fractures: comparison of K-wire fixation versus plate-screw fixation

Sezgin Bahadir Tekin et al. J Pediatr Orthop B. .

Abstract

This study aims to compare the clinical and radiological results of patients who underwent plate-screw fixation and K-wire fixation in supracondylar femur fractures in the pediatric population. Patients aged 5-14 years suffering from supracondylar femoral fractures who underwent K-wire and plate-screw fixation were included in the study. Of all patients, follow-up period, age, fracture union time, gender, leg length discrepancy, and Knee Society Score (KSS) data were analyzed. The patients were divided into two groups; fixation with plate (Group A) and fixation with K-wires (Group B). Forty-two patients participated in the study. There was no significant difference between the two groups in terms of age, gender, and follow-up time ( P > 0.05). When comparing the KSS results, no statistically significant difference was found between the two groups ( P = 0.612). A statistically significant difference was detected between the two groups regarding union time ( P = 0.01). When both groups were analyzed, no significant difference was found between the two groups in terms of functional results. Good results can be obtained in both plate-screw and K-wires in pediatric supracondylar femur fractures.

PubMed Disclaimer

References

    1. Butcher CC, Hoffman EB. Supracondylar fractures of the femur in children: closed reduction and percutaneous pinning of displaced fractures. J Pediatr Orthop 2005; 25:145–148.
    1. Smith NC, Parker D, McNicol D. Supracondylar fractures of the femur in children. J Pediatr Orthop 2001; 21:600–603.
    1. Slongo TF, Audigé L; AO Pediatric Classification Group. Fracture and dislocation classification compendium for children: the AO pediatric comprehensive classification of long bone fractures (PCCF). J Orthop Trauma 2007; 21(10 Suppl):S135–S160.
    1. Parikh SN, Nathan ST, Priola MJ, Eismann EA. Elastic nailing for pediatric subtrochanteric and supracondylar femur fractures. Clin Orthop Relat Res 2014; 472:2735–2744.
    1. Gangavalli AK, Nwachuku CO. Management of distal femur fractures in adults: an overview of options. Orthop Clin North Am 2016; 47:85–96.