Internal fixation was done by the techniques of Judet, San Antonio, San Diego, Dorgan, in “X” and “double X”. During 1982-2020 we consulted, treated and evaluated patients with SHF to whom all known treatment methods were applied: orthopedic reduction and immobilization in plaster cast, CRPP, ORIF, minimal-open reduction and internal fixation (mORIF) by mMA and external fixator. The minimal medial-approach (mMA) highlights the epitrochlea and the fracture of the medial pylon it has the role of anatomically reducing the medial pylon, thinner and very unstable in rare and particular forms. The epitrochlear approach (EA) was performed in cases where stability by CRPP could not be ensured or when there were clear signs of ulnar nerve damage. Fixation in "double X" was used either by CRPP and ORIF.
All patients with rare and particular forms presented in this article, were operated during 2001-2020 in state and private hospitals. Comments and opinions on "double X" method and other cross or side configurations are presented.
The aim of this paper is to present the results obtained by using double cross-fixation, "in double X", by closed reduction and percutaneous pinning (CRPP) or open reduction and internal fixation (ORIF) in treating rare and particular forms. The presence of special, rare and various forms which we can encounter when treating supracondylar humeral fractures (SHF) in children, call into question what therapeutic methods can be used to increase the effectiveness of the treatment applied.
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