ArticleJournal of the Pediatric Orthopaedic Society of North America2026
Intraoperative Guidewire Breakage During Open Reduction and Internal Fixation of Pediatric Medial Epicondyle Humerus Fractures: A Single-Institution Review.
Article in Journal of the Pediatric Orthopaedic Society of North America, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Clinical outcomes of management of primary medial epicondylar fractures: A systematic review with meta-analysis.Journal of children's orthopaedics · 2026Review
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Authors and funding
6 authors.
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Abstract
Background: While several intraoperative complications of medial epicondyle humerus fracture fixation have been reported, the frequency and implications of guidewire breakage have not yet been described. Methods: A retrospective cohort study was conducted to identify all pediatric patients with a medial epicondyle humerus fracture surgically managed with a cannulated screw. Data collected included patient demographics, guidewire and screw characteristics, tourniquet times, and postoperative complications. Results: Between January 2020 and October 2025, 99 cases of operatively managed medial epicondyle humerus fractures were identified within a single level I children's hospital. Six (6.1%) cases were complicated by intraoperative guidewire breakage. Guidewire breakage most commonly occurred when using a 1.25 mm guidewire (n = 5/6, 83.3%) with a 4.0 mm cannulated screw (n = 3/6, 50.0%). Guidewire breakage was associated with significantly longer tourniquet times ( Conclusions: Guidewire breakage is an underreported complication of medial epicondyle humerus fracture fixation with cannulated screws, warranting increased awareness among the orthopaedic community. Key Concepts: (1)Guidewire breakage occurred in 6.1% of patients treated with cannulated screw fixation of a medial epicondyle fracture.(2)All instances of guidewire breakage were using a threaded wire.(3)Limit instances of guidewire repositioning and maintain strict co-axial trajectory during overdrilling. Level of Evidence: III, Retrospective Cohort Study.
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