THE MONTPELLIER SCHOOL OF PEDIATRIC ORTHOPEDICS SPECIAL ISSUERisk of infection and secondary displacement in pediatric supracondylar or lateral condyle fractures treated with unburied Kirchener-wires removed before complete bone healingAubret, Sylvaina; Lecointe, Thibauta; Mansour, Mouniraa; Rousset, Mariea; Andreacchio, Antoniod; Pereira, Brunob; Charles, Yann Philippec; Canavese, FedericoaAuthor Information aDepartment of Pediatric Surgery, University Hospital Estaing bCHU Clermont-Ferrand, Biostatistics Unit, DRCI, Clermont-Ferrand cDepartment of Spine Surgery, University Hospital of Strasbourg, Federation of Translational Medicine, Strasbourg, France dDepartment of Pediatric Orthopedic Surgery, Regina Margherita Children’s Hospital, Torino, Italy Correspondence to Federico Canavese, MD, PhD, Department of Pediatric Surgery, University Hospital Estaing, 1, place Lucie et Raymond Aubrac, 63003 Clermont-Ferrand, France Tel: +33 473 750 293; fax: +33 473 750 291; e-mail: email@example.com Journal of Pediatric Orthopaedics B: May 2017 - Volume 26 - Issue 3 - p 222-226 doi: 10.1097/BPB.0000000000000417 Buy Metrics Abstract This study evaluated the risk of infection and of secondary displacement among children with displaced lateral condyle or supracondylar fractures treated by surgery. The study included a consecutive sample of 84 supracondylar fractures and 21 lateral condyle fractures treated with closed reduction and percutaneous pinning. The mean time to Kirchener wire removal was 29 days (range: 25–37 days) postsurgery. Two out of 105 (1.9%) patients developed infectious complications and two of 105 (1.9%) patients had a secondary displacement. Removal of unburied Kirchener wires before complete bone healing in the physician’s office does not increase risk of infection or the risk of secondary displacement. The protocol does, however, enable significant savings and eliminates the need for additional anaesthetic. Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.