{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T21:31:20Z","timestamp":1767994280875,"version":"3.49.0"},"reference-count":55,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,11,28]],"date-time":"2018-11-28T00:00:00Z","timestamp":1543363200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Open reduction and internal fixation is the adequate treatment for capitellar and trochlear fractures. Given the low incidence of this type of fractures, it is difficult to constitute a universally accepted method for fixation. Thus, we hypothesised that combined use of Kirschner wires (K\u2010wires), absorbable rods and sutures for fixation and post\u2010operative hinged external fixator for early rehabilitation exercise can restore elbow joint function well.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective study included 20 patients with a mean age of 48.3 (range 16\u201376) years. According to the Dubberley classification, fractures were classified on plain radiographs, computed tomography images and intra\u2010operative findings. All patients were evaluated by the range of motion of the elbow and the Broberg\u2010Morrey score.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All fractures had healed without non\u2010union, and the average time was 13.6 (range 8\u201317) weeks. The mean follow\u2010up was 42.5 (range 24\u201380) months. The mean flexion was 117.1\u00b0 (range 90\u00b0\u2013135\u00b0), and the mean extension was 17.5\u00b0 (range 0\u00b0\u201345\u00b0). The mean pronation was 74.4\u00b0 (range 45\u00b0\u201385\u00b0), and the mean supination was 84.3\u00b0 (range 60\u00b0\u201390\u00b0). The average Broberg\u2013Morrey score was 86.2 (range 68\u201398) points with 10 excellent, 7 good and 3 fair results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>K\u2010wires, absorbable rods and sutures combined with hinged external fixator are feasible for fixation of capitellar and trochlear fractures. However, due to the absence of a control group (such as Herbert screw fixation), comparative studies are still needed to demonstrate the safety and reliability of K\u2010wires for fixation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.14924","type":"journal-article","created":{"date-parts":[[2018,11,28]],"date-time":"2018-11-28T16:16:03Z","timestamp":1543421763000},"page":"196-200","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Combined use of Kirschner wires and hinged external fixator for capitellar and trochlear fractures: a minimum 24\u2010month follow\u2010up"],"prefix":"10.1111","volume":"89","author":[{"given":"Shu\u2010Kun","family":"He","sequence":"first","affiliation":[{"name":"Department of Orthopedics West China Hospital, Sichuan University  Chengdu China"},{"name":"Laboratory of Stem Cell and Tissue Engineering, State Key Laboratory of Biotherapy West China Hospital, Sichuan University  Chengdu 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