Dorgan's lateral cross-wiring of supracondylar fractures of the humerus in children: A retrospective review.
AuthorsQueally, Joseph M
Walsh, James C
Moran, Cathal J
Shannon, Fintan J
D'Souza, Lester G
AffiliationDepartment of Trauma and Orthopaedic Surgery, Mid-Western Regional Orthopaedic Hospital, Limerick, Ireland. email@example.com
Fracture Fixation, Internal
Range of Motion, Articular
MetadataShow full item record
CitationDorgan's lateral cross-wiring of supracondylar fractures of the humerus in children: A retrospective review. 2010, 41 (6):568-71 Injury
AbstractThe currently accepted treatment for displaced supracondylar humeral fractures in children is closed reduction and fixation with percutaneous Kirschner wires. The purpose of this study was to retrospectively review a novel cross-wiring technique where the cross-wire configuration is achieved solely from the lateral side, thereby reducing the risk of ulnar nerve injury.
We retrospectively reviewed all children who had undergone this procedure at our centre over a 10-year period. The primary end points were a major loss of reduction as determined by radiological alignment and iatrogenic ulnar nerve injury. Secondary end points included clinical alignment, elbow range of motion and complications.
A total of 43 patients, who underwent lateral cross-wiring for displaced supracondylar fractures (Gartland type II and type III) of the humerus were reviewed with a mean follow-up time of 36 months. No major loss of reduction occurred. The mean change in Baumann's angle (4.2+/-1.6 degrees) between intra-operative and follow-up radiographs was not significant (p>0.05). No iatrogenic case of ulnar nerve injury occurred. The 'carrying angle' and 'return to function' in all children had returned to normal relative to the other side. Postoperative complications consisted of three patients developing pin-site infections, which were successfully treated.
Dorgan's lateral cross-wiring technique is an effective option in treating displaced supracondylar fractures of the humerus in children. It is as effective as the traditional cross-wire technique in terms of fracture healing with a reduced risk of ulnar nerve injury.
- A prospective randomised non-blinded comparison of conventional and Dorgan's crossed pins for paediatric supracondylar humeral fractures.
- Authors: Dučić S, Radlović V, Bukva B, Radojičić Z, Vrgoč G, Brkić I, Jaramaz Dučić T, Jurdana H, Abramović D, Bojović N, Štefan L
- Issue date: 2016 Nov
- Does the technique of lateral cross-wiring (Dorgan's technique) reduce iatrogenic ulnar nerve injury?
- Authors: Memisoglu K, Cevdet Kesemenli C, Atmaca H
- Issue date: 2011 Mar
- "Dorgan's" percutaneous lateral cross-wiring of supracondylar fractures of the humerus in children.
- Authors: Shannon FJ, Mohan P, Chacko J, D'Souza LG
- Issue date: 2004 Jul-Aug
- [Closed reduction and percutaneous pinning with three Kirschner wires in children with type III displaced supracondylar fractures of the humerus].
- Authors: Karapinar L, Oztürk H, Altay T, Köse B
- Issue date: 2005
- Operative treatment of supracondylar fractures of the humerus in children. The consequences of pin placement.
- Authors: Skaggs DL, Hale JM, Bassett J, Kaminsky C, Kay RM, Tolo VT
- Issue date: 2001 May