title: A new procedure for fractures of the medial epicondyle in children: Mitek(®) bone suture anchor.
abstract: We present a new bone suture anchor technique for fractures of the medial epicondyle. The hypothesis was that the results would be similar to those with the divergent K-wire fixation. This retrospective study included 40 patients who presented with displaced fractures of the medial epicondyle: one group was treated with a Mitek(®) non-resorbable bone suture anchor (group A: n=21), the other by K-wire fixation (group B: n=19). A medial approach was taken with an anchor placed above the olecranon fossa. The epicondyle was then repositioned by bone suture. After a mean follow-up of 18.6 months, union was obtained in all epicondyles. There was no difference in flexion-extension of the elbow. The rate of hypertrophy of the medial epicondyle was similar in both groups (57%). The bone suture anchor of the medial epicondyle is an effective technique that does not require hardware removal and is an alternative treatment option to divergent K-wire fixation.
authors.affiliation: Service de chirurgie orthopédique pédiatrique, hôpital Pellegrin, CHU, place Amélie-Raba-Léon, 33076 Bordeaux, France.
authors.forename: J
authors.initials: J
authors.lastname: Rigal
authors.affiliation: Service de chirurgie orthopédique pédiatrique, hôpital Pellegrin, CHU, place Amélie-Raba-Léon, 33076 Bordeaux, France. Electronic address: thomas.thelen@chu-bordeaux.fr.
authors.forename: T
authors.initials: T
authors.lastname: Thelen
authors.affiliation: Service de chirurgie orthopédique pédiatrique, hôpital Pellegrin, CHU, place Amélie-Raba-Léon, 33076 Bordeaux, France.
authors.forename: A
authors.initials: A
authors.lastname: Angelliaume
authors.affiliation: Service de chirurgie orthopédique pédiatrique, hôpital Pellegrin, CHU, place Amélie-Raba-Léon, 33076 Bordeaux, France.
authors.forename: J-R
authors.initials: JR
authors.lastname: Pontailler
authors.affiliation: Service de chirurgie orthopédique pédiatrique, hôpital Pellegrin, CHU, place Amélie-Raba-Léon, 33076 Bordeaux, France.
authors.forename: Y
authors.initials: Y
authors.lastname: Lefevre
mesh_terms: D001864:Bone Wires; D002648:Child; D004551:Elbow Joint / Q000601:surgery*; D005260:Female; D005593:Fracture Fixation, Internal; D017102:Fracture Healing; D006801:Humans; D006810:Humeral Fractures / Q000601:surgery*; D008297:Male; D012189:Retrospective Studies; D053441:Suture Anchors
keywords: Bone suture anchor; Medial epicondyle fracture; Pediatric traumatology