title: [Prevention of ulnar nerve injury during fixation of supracondylar fractures in children by a medial-lateral three-pin fixation technique].
abstract: OBJECTIVE
  To expore the prevention of ulnar nerve injury during fixation of supracondylar fracture in children by a medial-lateral three-pin fixation technique.
  
  
  METHODS
  Eighty-one patients including 54 boys and 27 girls with average age of 6 years old (2.5 to 11 years)were treated by a three-pin fixation technique with insertion of two Kirscher wires from the lateral side and the third wire through the medial side. They were followed-up without any complications related to the ulnar nerve. According to Garland system, there were 25 cases of type II supracondylar fracture and 56 of type III. All patients were treated by a medial-lateral three-pin fixation technique, and external fixation with plaster for 3 weeks.
  
  
  RESULTS
  All cases achieved immediate stability and long-term bony fusion postoperatively and no iatrogenic ulnar nerve injury happen.
  
  
  CONCLUSIONS
  The technique is a stable and reliable methods for unstable supracondylar fracture and the iatrogenic injury ulnar nerve can be avoided completely.
authors.affiliation: Department of Orthopaedics, Ningbo No.6 Hospital, Ningbo 315040, Zhejiasmg, China. caojin111@163.com
authors.forename: Jin
authors.initials: J
authors.lastname: Cao
authors.forename: Zhao-ping
authors.initials: ZP
authors.lastname: Zhong
authors.forename: Long
authors.initials: L
authors.lastname: Zhou
authors.forename: Rong-ming
authors.initials: RM
authors.lastname: Xu
authors.forename: Qiu
authors.initials: Q
authors.lastname: Chen
authors.forename: Lin-rui
authors.initials: LR
authors.lastname: Pen
authors.forename: Rong
authors.initials: R
authors.lastname: Ren
mesh_terms: D001858:Bone Nails; D002648:Child; D002675:Child, Preschool; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D006810:Humeral Fractures / Q000150:complications / Q000601:surgery*; D006811:Humerus / Q000293:injuries / Q000294:innervation* / Q000601:surgery; D016268:Internal Fixators; D007431:Intraoperative Complications / Q000517:prevention & control*; D008297:Male; D020196:Trauma, Nervous System / Q000517:prevention & control*; D014459:Ulnar Nerve / Q000293:injuries*