Perbandingan Hasil Fiksasi K-Wire Pin dan Screw pada Fraktur Kondilus Lateral Humerus pada Populasi Pediatri: Sebuah Tinjauan Sistematis dan Meta-Analisis

Abstract

Background: Lateral condyle fractures of the humerus in children are common injuries, often resulting from direct trauma or blunt force. Proper management is essential to avoid long-term complications such as malunion, nonunion, or joint stiffness. The fixation methods of K-wire pin and screw are frequently used, but there is limited consensus regarding their effectiveness. This study aims to systematically review and compare the clinical outcomes of both fixation techniques in pediatric patients with lateral condyle humerus fractures. Methods: A systematic review and meta-analysis were conducted on studies comparing K-wire pin and screw fixation methods in pediatric patients. Data from multiple databases, including PubMed, Scopus, and EMBASE, were analyzed. The primary outcomes assessed were union rates, infection, stiffness, and functional recovery. Results: The meta-analysis revealed that screw fixation provided greater stability, a lower risk of infection, and quicker recovery compared to K-wire pin fixation. However, K-wire pin fixation, while more cost-effective, carries a higher risk of complications such as infection and fragment displacement. Conclusion: Screw fixation appears to offer superior clinical outcomes in terms of stability and functional recovery, making it the preferred choice for managing lateral condyle fractures in children. However, K-wire pin fixation remains a viable option, particularly in cases where cost- effectiveness is prioritized.