Non-rotational medial pinning with the K-Hammer technique in pediatric supracondylar fractures: a retrospective case-control study - Scorecard - MDSpire
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Non-rotational medial pinning with the K-Hammer technique in pediatric supracondylar fractures: a retrospective case-control study
Clinical Scorecard: Medial Pinning Without Rotation Using the K-Hammer Technique for Pediatric Supracondylar Fractures: A Retrospective Case-Control Analysis
At a Glance
Category
Detail
Condition
Pediatric Supracondylar Humeral Fractures
Key Mechanisms
K-Hammer technique for medial pin insertion reduces risk of ulnar nerve injury.
Target Population
Pediatric patients aged 2–10 years with Gartland type III–IV fractures.
Care Setting
Retrospective case-control study in a clinical setting.
Key Highlights
K-Hammer group had fewer medial pin attempts (1.0 vs. 2.0, P < 0.001).
Shorter operative time in K-Hammer group (32.8 min vs. 37.9 min, P = 0.006).
Iatrogenic ulnar nerve injury occurred in 0% of K-Hammer group vs. 11.9% in Freehand group.
No secondary displacement or reoperation in either group.
Radiographic and functional outcomes were comparable between groups.
Guideline-Based Recommendations
Diagnosis
Identify Gartland type III–IV extension-type supracondylar humeral fractures.
Management
Use crossed K-wire fixation with two lateral and one medial pin for treatment.
Monitoring & Follow-up
Monitor for iatrogenic ulnar nerve injury postoperatively.
Risks
Consider the risk of ulnar nerve injury with conventional medial pinning techniques.
Patient & Prescribing Data
Pediatric patients aged 2–10 years with isolated closed extension-type Gartland type III–IV fractures.
K-Hammer technique may reduce the risk of ulnar nerve injury and improve operative efficiency.
Clinical Best Practices
Maintain elbow in 30°–60° extension during medial pin insertion.
Consider K-Hammer technique as a potential option for medial pin placement.
