Medial Epicondyle Fractures: Biomechanical Evaluation and Clinical Comparison of 3 Fixation Methods Used in Pediatric Patients

Abstract

Biomechanically, all 3 approaches provided initial fixation exceeding the forces observed across the elbow joint with routine motion. The screw construct was the strongest and stiffest. Clinically, all 3 strategies were acceptable, with screw fixation offering a shorter casting duration, but greater implant removal need with higher associated costs.