{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T15:51:16Z","timestamp":1772725876364,"version":"3.50.1"},"reference-count":22,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T00:00:00Z","timestamp":1763078400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study evaluated the clinical efficacy of a modified surgical technique\u2014lateral crossed-tensioned Kirschner wires (K-wires) combined with external fixation\u2014for treating supracondylar humeral fractures in school-aged children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between April 2022 and April 2023, 45 school-aged children (ages 6\u201313) with supracondylar humeral fractures were retrospectively included in this study. The modified surgical technique involving lateral crossed-tensioned K-wires combined with external fixation was employed to facilitate early functional recovery without the need for plaster immobilization. The postoperative follow-up included a radiographic evaluation, assessment of elbow joint functional recovery, and patient satisfaction surveys.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All the patients were followed up for 6\u201318 months. Five patients developed pin site infections, which were successfully managed with routine care. No cases of non-union, K-wire migration, or dislocation were observed. Based on their Flynn scores, 93.3% of the patients achieved excellent elbow joint function at 1 month postoperatively, increasing to 97.8% at 3 months and remaining stable at 6 months. No instances of elbow varus deformity were observed during follow-up. The patients and their families reported high satisfaction levels and recommended this technique for similar fractures in other children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The use of lateral crossed-tensioned K-wires combined with external fixation for supracondylar humeral fractures in children yields satisfactory results, promotes early functional recovery of the elbow joint, facilitates a quicker return to school activities, and improves patient satisfaction. This technique is a viable alternative for managing supracondylar humeral fractures in school-aged children.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fped.2025.1681350","type":"journal-article","created":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T06:22:12Z","timestamp":1763101332000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["A modified surgical technique: lateral crossed-tensioned K-wires combined with external fixation for supracondylar humeral fractures in school-aged children"],"prefix":"10.3389","volume":"13","author":[{"given":"Huanye","family":"Zhu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mengyao","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chao","family":"Gao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huajiang","family":"Zheng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin","family":"Cao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,11,14]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"585","DOI":"10.1186\/s40001-023-01560-2","article-title":"Kirschner wire reconstruction of medial and lateral column periosteal hinge in the treatment of multidirectionally unstable supracondylar fracture of the humerus in children","volume":"28","author":"Ma","year":"2023","journal-title":"Eur J Med Res"},{"key":"B2","doi-asserted-by":"publisher","first-page":"394","DOI":"10.1016\/j.recot.2019.07.001","article-title":"Epidemiological study on supracondylar fractures of distal humerus in pediatric patients","volume":"63","author":"Aparicio Mart\u00ednez","year":"2019","journal-title":"Rev Esp Cir Ortop Traumatol (Engl Ed)"},{"key":"B3","doi-asserted-by":"publisher","first-page":"980","DOI":"10.2106\/JBJS.D.02956","article-title":"Treatment of multidirectionally unstable supracondylar humeral fractures in children. 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