{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T23:40:21Z","timestamp":1780962021670,"version":"3.54.1"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: Medial epicondyle fractures of the humerus, account for ~12\u201320% of pediatric elbow fractures and are often associated with elbow dislocations. Management is debated, especially for moderately displaced injuries. Conventionally, displaced fractures were sometimes treated non-operatively, yielding acceptable function but high rates of fibrous non-union. Recent evidence shows surgical fixation provides ~9-fold higher union rates without significant differences in long-term pain or nerve function. We present five patients treated with different fixation techniques to highlight management considerations and outcomes.\n\nCase Series: Five patients (ages 15\u201370; 4 male, 1 female) with acute medial epicondyle fractures (presentation within 2 weeks post trauma) underwent open reduction and internal fixation using varied methods: (1) percutaneous Kirschner-wires (K-wires), (2) a single cannulated cancellous (CC) screw, (3) an antiglide plate, (4) combined K-wire plus screw, and (5) a CC screw. Surgery was performed for displacement &gt;5 mm or instability, in line with current recommendations. Post-operative immobilization ranged 2\u20134 weeks (shorter for screw fixation, longer for K-wires), followed by physiotherapy. At final follow-up (12\u201336 months), all fractures united (mean ~12 weeks), and patients resumed full activities. Elbow range of motion was near-normal (flexion \u2265130\u00b0; one transient 5\u00b0 extension lag resolved after hardware removal). No growth arrests or chronic instability occurred. Functional outcomes were excellent: Mayo Elbow performance scores 90\u2013100 (mean ~96), and quick disabilities of the arm, shoulder, and hand scores (QuickDASH) indicated minimal disability. No non-union, deep infections, or redislocation were seen, consistent with published results.\n\nConclusion: Medial epicondyle fractures can be effectively treated with various fixation strategies tailored to fragment size, age, and injury pattern. Rigid fixation (screws, plate) enables early mobilization and reliable union, while K-wires remain useful for smaller apophyseal fragments. All methods in this series restored elbow stability and excellent function. Fixation choice should balance fragment anatomy and potential complications: screws enhance purchase but often require removal, whereas K-wires spare the growth center but necessitate longer immobilization. This series emphasizes that diverse fixation approaches \u2013 from K-wires to plating \u2013 can achieve excellent outcomes when applied judiciously. Surgical fixation in displaced or unstable cases promotes union and allows early return to activity.\n\nKeywords: Medial epicondyle fracture, antiglide plate, internal fixation, Kirschner-wire, cannulated screw.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i02.6852","type":"journal-article","created":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T07:11:58Z","timestamp":1770793918000},"page":"364-370","source":"Crossref","is-referenced-by-count":1,"title":["Medial Epicondyle Fractures Treated with Diverse Fixation Techniques: A Case Series"],"prefix":"10.13107","volume":"16","author":[{"name":"Department of Orthopaedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India,","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santosh D","family":"Ghoti","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akshay D","family":"Punekar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Department of Orthopaedics, B.J. Medical College and Sassoon General Hospital, Pune, Maharashtra, India.","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaideep","family":"Das","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Department of Orthopaedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India,","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajit","family":"Rathod","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Department of Orthopaedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India,","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harsh","family":"Jain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Department of Orthopaedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India,","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajath S","family":"Shetty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Department of Orthopaedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India,","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T07:11:58Z","timestamp":1770793918000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/02\/medial-epicondyle-fractures-treated-with-diverse-fixation-techniques-a-case-series\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i02.6852","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}