![]() The average duration of the surgery in Group A was significantly shorter than that in Group B ( p < 0.001). Children with successful CRPP in each group were included to compare the efficacy of the novel CRPP technique. In group B, five of the eight fractures were treated successfully with the conventional CRPP technique three fractures needed open reduction, and one of them had further surgery because of the loss of fixation. No complications such as pin-site infection or iatrogenic nerve injury were found in this group. Results: In Group A, all six MDJ fractures were treated successfully with the novel CRPP technique without the need for open procedures or re-operation. Clinical and radiographic outcomes in the two groups were then compared. Eight children underwent the conventional reduction maneuver utilized in supracondylar fracture and were enrolled as Group B. Six children who underwent treatment with a novel CRPP technique were enrolled as Group A. Methods: We retrospectively evaluated 14 children (8 boys and 6 girls) who underwent closed reduction and percutaneous fixation for the treatment of MDJ fractures. ![]() The purpose of this study was to evaluate a novel closed reduction and percutaneous pinning (CRPP) technique for the treatment of these fractures. Closed reduction and fixation are challenging and may not be possible with the conventional reduction maneuver utilized in supracondylar fractures. Objective: The metaphyseal-diaphyseal junction (MDJ) fracture is an uncommon but problematic type of fracture occurring at the distal humerus in children.
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