{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T06:49:23Z","timestamp":1765349363238,"version":"3.46.0"},"reference-count":24,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T00:00:00Z","timestamp":1765324800000},"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>To evaluate the efficacy of closed reduction percutaneous pinning (CRPP) in the treatment of Song V lateral humeral condyle fractures in children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Medical records of pediatric patients who underwent surgical treatment for lateral humeral condyle fractures at our institution from July 2018 to August 2024 were retrospectively reviewed. Inclusion criteria: (1). Age \u226414 years; (2). Time from injury to surgery \u22643 days; (3). Song V lateral humeral condyle fracture. Exclusion criteria: (1). Open fracture or concomitant fractures; (2). Associated neurovascular injury; (3). Pathological fracture or concomitant metabolic diseases; (4). Incomplete clinical or radiological data; (5). History of previous surgery on the ipsilateral elbow. Patients meeting the criteria were divided into two groups based on surgical approach: open reduction (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200943) and closed reduction (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200946). Gender, age, affected side, intraoperative blood loss, and operative duration were recorded. Elbow function was assessed using the Mayo Elbow Performance Score (MEPS) at the one-year postoperative follow-up. Overgrowth of the lateral condyle was evaluated on anteroposterior radiographs by the presence of a prominent lateral spur; overgrowth was defined as a final interepicondylar width (IEW)\/initial IEW ratio &amp;gt;1.1.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean age in the closed reduction group was 4.87\u2009\u00b1\u20091.55 years, compared to 4.53\u2009\u00b1\u20091.57 years in the open reduction group, showing no statistically significant difference (\n                      <jats:italic>t<\/jats:italic>\n                      \u2009=\u20091.0126,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.314). There were also no significant differences between the two groups in terms of gender distribution (\n                      <jats:italic>\u03c7\u00b2<\/jats:italic>\n                      \u2009=\u20092.715,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.099) or affected side (left\/right) (\n                      <jats:italic>\u03c7\u00b2<\/jats:italic>\n                      \u2009=\u20090.01,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.914). The closed reduction group demonstrated significantly less intraoperative blood loss (1.02\u2009\u00b1\u20090.15\u2005mL vs. 3.77\u2009\u00b1\u20093.22\u2005mL;\n                      <jats:italic>U<\/jats:italic>\n                      \u2009=\u2009240.5,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001) and shorter operative duration (52.96\u2009\u00b1\u200919.52\u2005min vs. 91.84\u2009\u00b1\u200930.16\u2005min;\n                      <jats:italic>U<\/jats:italic>\n                      \u2009=\u2009275.0,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001). At the one-year follow-up, no significant difference was found in MEPS (99.78\u2009\u00b1\u20091.02 vs. 99.53\u2009\u00b1\u20091.45;\n                      <jats:italic>U<\/jats:italic>\n                      \u2009=\u2009841.0,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.180). Evaluation of lateral condyle overgrowth also showed no significant difference between the groups (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20092.46,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.12).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Closed reduction percutaneous pinning fixation for Song V lateral humeral condyle fractures achieves surgical outcomes comparable to open reduction. However, CRPP offers the advantages of minimal scarring and significantly shorter operative time.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fped.2025.1701100","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T06:47:50Z","timestamp":1765349270000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Open reduction versus closed reduction percutaneous pinning for the treatment of song type V lateral humeral condyle fractures in children. A short term report"],"prefix":"10.3389","volume":"13","author":[{"given":"Jianwen","family":"Fang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dahui","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lujian","family":"Tan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yunbo","family":"Peng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yueqiang","family":"Mo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,12,10]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"e9","DOI":"10.5435\/JAAOS-D-17-00815","article-title":"Current concepts in the treatment of lateral condyle fractures in 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