Technique and Preliminary Results of Medial Epicondyle Fracture Fixation Using Anchors and Review of the Literature
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- This is an observational study: the protocol does not assign a study treatment.
- Who it may be relevant to
- Registry conditions: Medial Epicondyle Fractures of the Elbow. Basic parameters: 1 year — 14 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- France
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
Medial epicondyle fractures of the humerus account for 11 to 20% of elbow fractures in children and adolescents. The therapeutic strategy remains controversial, ranging from conservative treatment to surgical fixation depending on the degree of displacement and joint instability. Conventional surgical management of these fractures generally involves fixation with screws or pins. However, the occurrence of certain complications, such as hardware migration, soft tissue irritation, the risk of iatrogenic comminution of small bone fragments, and the need for implant removal, has led to the exploration of alternatives, including the use of anchor fixation. This technique involves inserting an anchor with sutures into the bone to ensure stable fixation of the fragment, while reducing the risk of comminution and avoiding the need for subsequent removal of the material.
Primary outcome measures
- Mayo Elbow Performance Score (MEPS) [Time frame: Up to 12 months]
Eligibility criteria
Inclusion criteria
- Minor patient (under 15 years of age)
- Admitted for recent displaced fractures of the medial epicondyle of the elbow
- Treated in the pediatric surgery department at Hautepierre Hospital
- Fractures requiring surgical treatment with anchor fixation.
Exclusion criteria
- Non-displaced fractures
- Open fractures and associated fractures
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Case-only
Study locations
France · 1 center
- Service de Chirurgie Pédiatrique - CHU de Strasbourg - France — Strasbourg
Identifiers
NCT: NCT07342959 · 9814