Cannulated lag screws superior to pins
In a recent study published in the January issue of the Journal of Pediatric Orthopaedics, Paul D. Sponseller, M.D., professor of urology and orthopedic surgery at the Johns Hopkins School of Medicine and chief of the division of pediatric orthopedics at the Johns Hopkins Children’s Center in Baltimore, Maryland, and colleagues found that for displaced lateral condyle fractures, cannulated lag screw fixation results in lower rates of open reduction and infection than pin fixation.

The researchers collected data on lateral humeral condyle fractures from 1998 through 2012. Twenty-two patients were treated with pin fixation and 26 with cannulated, partially threaded screw fixation. The protocol was for open reduction to only be used after closed reduction was not successful.