Open Incision for Medial Pin
We cannot recommend for or against using an open incision to introduce a medial pin to stabilize the reduction of displaced pediatric supracondylar fractures of the humerus.
Rationale
Pin configuration and the potential complications related to iatrogenic ulnar nerve injury are recognized concerns in this population. Therefore the group deemed it important to examine the technique of medial pin placement; specifically if there was a difference in ulnar nerve injury rates related to percutaneous vs. open medial pin placement. There was no existing adequate data to address the technique of medial pin placement.