Management of displaced supracondylar fractures of the humerus using lateral versus crossed Kirschner wires: a prospective randomized controlled clinical trial

Closed reduction and percutaneous pinning using lateral K-wiring was not inferior to crossed K-wiring in managing this cohort of Type III supracondylar humerus fractures in children aged three to seven years, suggesting this approach as an option to reduce iatrogenic ulnar nerve injury risk. However, lack of a patient-reported outcome measure and economic evaluation, coupled with randomization after reduction, a narrow age range, and low recruitment rate limit the generalizability of these findings and may have introduced bias.