Fixation for metaphyseal-diaphyseal junction noncomminuted fracture of the distal humerus in children: K-wire or ESIN, how to decide?

• Published in: Frontiers in pediatrics Vol. 13
• Main Authors: Li, Minglei, Liu, Tianjing, Li, Qiwei, Li, Lianyong, Zhang, Lijun, Shi, Liwei, Wang, Enbo
• Format: Journal Article
• Language: English
• Published: Frontiers Media S.A 06.08.2025
• Subjects: closed reduction and percutaneous pinning; elastic stable intramedullary nail; external fixator; humerus; metaphyseal-diaphyseal junction fracture; pediatric; Pediatrics

BackgroundThe metaphyseal-diaphyseal junction (MDJ) fracture of the distal humerus has posed significant difficulty clinically, as the increased height of the distal fragmant makes it hard for Kirschner wires to reach the proximal fragment. Our previous study provided suggestions for the choice of f...