Open AccessInternal Rotation Stress Test Reduces Cross-Pinning and Improves Outcomes in Displaced Pediatric Supracondylar Humeral Fractures
Author(s) -
Andrew B. Rees,
Jacob Schultz,
Lucas Wollenman,
Stephanie N. MooreLotridge,
Jeffrey E. Martus,
Gregory A. Mencio,
Jonathan G. Schoenecker
Publication year - 2021
Publication title -
jb and js open access
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.786
H-Index - 3
ISSN - 2472-7245
DOI - 10.2106/jbjs.oa.21.00014
Subject(s) - percutaneous pinning , medicine , malunion , surgery , percutaneous , fixation (population genetics) , internal fixation , population , environmental health , prosthesis
Stabilization of the medial column is vital in preventing the loss of fixation and malunion in displaced pediatric supracondylar humeral fractures (SCHFs). The preferred percutaneous pin configuration for medial column fixation remains controversial between medial pinning (cross-pinning) and additional lateral-based pinning. The intraoperative internal rotation stress test (IRST) has been proposed to reliably determine the optimal fixation strategy for each unique fracture. This study evaluated the impact of implementing the IRST on both the choice of pin configuration and institution-wide complications in pediatric patients treated operatively for SCHFs.