UPPER LIMBBuried versus unburied Kirschner wires in the management of paediatric lateral condyle elbow fractures a comparative study from a tertiary centreOrmsby, Neal M.; Walton, Roger D.M.; Robinson, Simon; Brookes-Fazakerly, Stephen; Yuen Chang, Fernando; McGonagle, Lorcan; Wright, DavidAuthor Information Alder Hey Children’s Hospital, Liverpool, UK Correspondence to Neal M. Ormsby, MBChB (Hons) MRCS, Department of Orthopaedics, Alder Hey Children’s Hospital, Liverpool L12 2AP, UK Tel: +44 777 533 6450; fax: +44 151 228 0328; e-mail: email@example.com Journal of Pediatric Orthopaedics B: January 2016 - Volume 25 - Issue 1 - p 69-73 doi: 10.1097/BPB.0000000000000226 Buy Metrics Abstract There is little consensus on whether Kirschner wire (K-wire) burial is preferable in the management of paediatric lateral humeral condyle fractures. We identified 124 patients from May 2008 to August 2014. Sixty received buried K-wires and 64 received unburied wires. We found no significant difference in the infection rates between groups, but a high rate of skin erosion (23%) in the buried group, with a subsequent high rate of infection in this subgroup (40%). We found a strong association of wire erosion following early surgery. There is a considerable cost saving associated with using unburied wires. We therefore recommend the routine use of unburied wires. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.