Outcome of paediatric lateral condyle humerus fractures treated operatively
Background: Paediatric lateral humeral condyle fractures account for 17 % of the distal humeral fractures. Displaced and rotated fractures require appropriate reduction and stabilisation. Aims: The aim of the present study was to review the results of patients with a displaced lateral humeral cond...
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doaj-bbf24b28684942049dc92057d7b8acd52020-11-24T21:58:16ZengAmber PublicationJournal of Research in Medical and Dental Science2347-25452347-23672016-09-0143253256Outcome of paediatric lateral condyle humerus fractures treated operativelyKetan Kakani0Prashant Patel1Pratik Prajapati2Viral Prajapati3Sandeep Patil4Orthopaedic department, Shri M.P.Shah Government Medical College, Jamnagar, Gujarat, IndiaOrthopaedic department, Shri M.P.Shah Government Medical College, Jamnagar, Gujarat, IndiaOrthopaedic department, Shri M.P.Shah Government Medical College, Jamnagar, Gujarat, IndiaOrthopaedic department, Shri M.P.Shah Government Medical College, Jamnagar, Gujarat, IndiaOrthopaedic department, Shri M.P.Shah Government Medical College, Jamnagar, Gujarat, IndiaBackground: Paediatric lateral humeral condyle fractures account for 17 % of the distal humeral fractures. Displaced and rotated fractures require appropriate reduction and stabilisation. Aims: The aim of the present study was to review the results of patients with a displaced lateral humeral condyle fracture treated with open reduction and internal fixation (ORIF). Material and methods: We prospectively reviewed 30 children operated for lateral humeral condyle fractures at a single institution over a period of 3 years. Age distribution, fracture classification, mode of fixation, time to union, complications and final outcomes at the latest follow-up were reviewed. Results: Total 30 patients of lateral condyle fractures were identified in which there were 18 male and 12 female patients. Average age was 8.07 years. 10 were Milch type II and 20 Milch type I. According to the Jacob’s classification, 05 were type I and 17 were type II and 08 were type III. All fractures were treated with open reduction and fixation with K-wires except one which was treated with CRIF. Average time to radiological union was 6.1 weeks. Radiological hypertrophy of the lateral condyle was present in 4 cases (13.33 %). 3 patients developed a pseudo-cubitus varus deformity. Conclusion: Our results demonstrate that fracture union and excellent final outcomes can be expected in all patients using our protocol, whereby all patients with a displaced fracture are managed by ORIF with K-wire fixation, with the wires only being removed after there is evidence of radiological union.https://www.jrmds.in/articles/outcome-of-paediatric-lateral-condyle-humerus-fractures-treated-operatively.pdfPaediatric lateral condyle fracturesORIFRadiological union |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ketan Kakani Prashant Patel Pratik Prajapati Viral Prajapati Sandeep Patil |
spellingShingle |
Ketan Kakani Prashant Patel Pratik Prajapati Viral Prajapati Sandeep Patil Outcome of paediatric lateral condyle humerus fractures treated operatively Journal of Research in Medical and Dental Science Paediatric lateral condyle fractures ORIF Radiological union |
author_facet |
Ketan Kakani Prashant Patel Pratik Prajapati Viral Prajapati Sandeep Patil |
author_sort |
Ketan Kakani |
title |
Outcome of paediatric lateral condyle humerus fractures treated operatively |
title_short |
Outcome of paediatric lateral condyle humerus fractures treated operatively |
title_full |
Outcome of paediatric lateral condyle humerus fractures treated operatively |
title_fullStr |
Outcome of paediatric lateral condyle humerus fractures treated operatively |
title_full_unstemmed |
Outcome of paediatric lateral condyle humerus fractures treated operatively |
title_sort |
outcome of paediatric lateral condyle humerus fractures treated operatively |
publisher |
Amber Publication |
series |
Journal of Research in Medical and Dental Science |
issn |
2347-2545 2347-2367 |
publishDate |
2016-09-01 |
description |
Background: Paediatric lateral humeral condyle fractures account for 17 % of the distal humeral fractures. Displaced and rotated fractures require appropriate reduction and stabilisation.
Aims: The aim of the present study was to review the results of patients with a displaced lateral humeral condyle fracture treated with open reduction and internal fixation (ORIF).
Material and methods: We prospectively reviewed 30 children operated for lateral humeral condyle fractures at a single institution over a period of 3 years. Age distribution, fracture classification, mode of fixation, time to union, complications and final outcomes at the latest follow-up were reviewed.
Results: Total 30 patients of lateral condyle fractures were identified in which there were 18 male and 12 female patients. Average age was 8.07 years. 10 were Milch type II and 20 Milch type I. According to the Jacob’s classification, 05 were type I and 17 were type II and 08 were type III. All fractures were treated with open reduction and fixation with K-wires except one which was treated with CRIF. Average time to radiological union was 6.1 weeks. Radiological hypertrophy of the lateral condyle was present in 4 cases (13.33 %). 3 patients developed a pseudo-cubitus varus deformity.
Conclusion: Our results demonstrate that fracture union and excellent final outcomes can be expected in all patients using our protocol, whereby all patients with a displaced fracture are managed by ORIF with K-wire fixation, with the wires only being removed after there is evidence of radiological union. |
topic |
Paediatric lateral condyle fractures ORIF Radiological union |
url |
https://www.jrmds.in/articles/outcome-of-paediatric-lateral-condyle-humerus-fractures-treated-operatively.pdf |
work_keys_str_mv |
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