Closed Reduction and Internal Fixation of Completely Displaced and Rotated Lateral Condyle Fractures of the Humerus in Children

Abstract

Closed reduction and internal fixation is an effective treatment for completely displaced and rotated lateral condyle fractures of the humerus in many children.

Closed Reduction and Percutaneous Pinning of Displaced Pediatric Lateral Condyle Fractures of the Humerus

“…There is very limited information available in the literature with regard to the results of CRPP for this type of fractures. [2][3][4] Although good results have been reported even in some completely displaced and rotated fractures, 3,4 it appears that predictably good outcomes are reserved for LCFs that have a limited initial displacement (possibly <4 mm). [2][3][4] We have identified a group of pediatric LCFs of the humerus who were treated with CRPP.…”

“…[2][3][4] Although good results have been reported even in some completely displaced and rotated fractures, 3,4 it appears that predictably good outcomes are reserved for LCFs that have a limited initial displacement (possibly <4 mm). [2][3][4] We have identified a group of pediatric LCFs of the humerus who were treated with CRPP. By comparing it to a group of pediatric LCFs of the humerus that were treated surgically with open reduction and internal fixation (OR-IF), we aimed to investigate several aspects related to the outcome of such a procedure, including issues related to surgical time, recovery of range of motion, lateral spur formation, complications, and overall outcome.…”

“…1 There is little controversy with regard to the use of open reduction and internal fixation for severely displaced fractures of the lateral condyle; there has been, however, renewed interest in the use of percutaneous pinning for selected cases in which a congruent reduction can be achieved with a closed maneuver. [2][3][4] In the treatment of pediatric LCFs of the humerus, closed reduction and percutaneous pinning (CRPP) is an attractive alternative to open reduction and internal fixation because of the potential decrease in tissue injury, shorter surgical times, and faster functional recovery. There is very limited information available in the literature with regard to the results of CRPP for this type of fractures.…”

Surgical Timing of Treating Pediatric Trauma: Urgencies/Emergencies

“…10,11) 외과 골절은 신경-혈관적 손상이 동반될 가능성이 적으 므로 응급수술의 필요성은 작다. 하지만 지연 전위에 따른 부정유합 또는 불유합, 성장 장애과 같은 합병증이 발생할 수 있으므로 주의가 요구된다.…”

Clinical and Radiographic Evaluation of the Operative Treatment of Lateral Humeral Condylar Fracture in Children at Shafa Hospital, Tehran, Iran

“…Lateral humeral condyle fractures are common problems, affecting the elbow joint in children (1). These fractures account for nearly 5% -20% of pediatric elbow fractures and are ranked second place between supracondylar and medial epicondylar fractures (2-4) Lateral condyle mass fractures occur most commonly at 5 -10 years of age (3).…”