ArticleFrontiers in surgery2026
Clinical application of unilateral intramedullary K-wire occupying technique for flexible reduction in pediatric supracondylar humeral fractures.
Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Abstract
Objective: To investigate the clinical efficacy of unilateral Kirschner wire (K-wire) intramedullary occupying technique for flexible reduction combined with ultrasound guidance in the treatment of pediatric supracondylar humeral fractures. Methods: A retrospective analysis was conducted on 41 patients with Gartland type III and IV pediatric supracondylar humeral fractures treated in our hospital from January 2024 to April 2025. Among them, 21 patients underwent closed reduction assisted by the unilateral K-wire intramedullary occupying technique (observation group), and 20 patients received traditional closed reduction (control group). No statistically significant differences were observed between the two groups in age, sex, injury cause, fracture side, Gartland classification, or time from injury to surgery ( Results: All fractures in both groups underwent ultrasound-guided closed reduction. The observation group had significantly shorter operative time and fewer intraoperative fluoroscopic acquisitions than the control group ( Conclusion: For pediatric Gartland type III and IV supracondylar humeral fractures with significant lateral displacement, both ultrasound-guided closed reduction techniques achieve satisfactory clinical outcomes. However, the unilateral K-wire intramedullary occupying technique is relatively simpler, with shorter operative time and fewer fluoroscopic acquisitions, making it a viable surgical option for such fractures.
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