Does the technique of lateral cross-wiring (Dorgan's technique) reduce iatrogenic ulnar nerve injury?

International Orthopaedics
Kaya MemisogluHalil Atmaca

Abstract

In this study we compared the results of patients with displaced supracondylar humeral fractures who had been treated with all lateral cross-wire and medio-lateral cross-wire fixation techniques. Only the 139 patients who were able to attend the final examination were included in the assessment. The patients were allocated retrospectively into two groups according to the pin configuration used. Group 1 comprised 75 patients, 60 male and 15 female, with a mean age of 7.5 years (range, 1.5-14 years). After closed reduction, fixation was achieved with crossed K-wires placed from the lateral condyle and lateral humerus towards the medial epicondyle. Care was taken so that the end of the K-wire passing from the lateral humerus did not protrude excessively at the level of the medial epicondyle. Group 2 comprised 64 patients, 54 males and ten females, with a mean age of 7.8 years (range, 2-13 years). After closed reduction, two cross-wires passed-one from medial and one from lateral. In group 1 there was no postoperative iatrogenic nerve damage whereas in group 2 iatrogenic ulnar nerve damage developed in six (9%) patients. On statistical evaluation, a significant difference was seen between the two groups. According to Flynn's criter...Continue Reading

References

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Citations

Jul 1, 2014·Journal of Pediatric Orthopedics·Alexander J Kish, William L Hennrikus
Sep 4, 2014·Journal of Children's Orthopaedics·Riazuddin MohammedSreenivasulu Metikala
Dec 16, 2016·Journal of Pediatric Orthopedics·Jennifer M BauerJeffrey E Martus
May 4, 2012·The Journal of the American Academy of Orthopaedic Surgeons·Andrew HowardUNKNOWN American Academy of Orthopaedic Surgeons

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