Displaced Humeral Lateral Condyle Fractures in Children: Should We Bury the Pins?

Das De S, Bae DS, Waters PM (Children’s Hosp Boston, MA) J Pediatr Orthop 32:573-578, 2012^§

Abstract

Background

The purpose of this investigation was to determine if leaving Kirschner wires exposed is more cost-effective than burying them subcutaneously after open reduction and internal fixation (ORIF) of humeral lateral condyle fractures.

Methods

A retrospective cohort study of all lateral condyle fractures treated over a 10-year period at a single institution was performed. Data on surgical technique, fracture healing, and complications were analyzed, as well as treatment costs. A decision analysis model was then constructed to compare the strategies of leaving the pins exposed versus buried. Finally, sensitivity analyses were performed, assessing cost-effectiveness when infection rates and costs of treating deep infections were varied.

Results

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