Percutaneous K-wire of Paediatric Supracondylar Humerus Fracture

Description

In this instructional video, the presenter demonstrates a surgical technique for k-wire fixation of a type III supracondylar fracture in a 4.5-year-old girl. The video begins with an overview of the injury, noting that these fractures are common in children aged 5 to 7 years. The presenter describes the characteristics of the fracture, identifying it as a posterior medial type, consistent with Gartland type C. He emphasizes the importance of achieving a good reduction and showcases the steps for stabilizing the patient, positioning her appropriately on the operating table for optimal visibility during the procedure.



The technique involves careful traction and manipulation of the fractured bone to realign the fragments. Key steps include applying cone protection and flexing the elbow to dislodge the fracture fragments adequately. The video proceeds to take X-rays to assess the reduction progress in the coronal plane before making further adjustments to improve placement.



Throughout the procedure, the presenter shares insights on avoiding hyperflexion to prevent complications, such as damage to the ulnar nerve or posterior periosteum. He explains how to manipulate the fracture fragments while maintaining flexion, highlighting the effectiveness of the technique in correcting the residual coronal plane deformity. The presentation culminates with the gentle translation of the distal fragment for proper alignment before concluding the k-wire fixation process.

DOI: 10.1302/3114-221879

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