Delayed Operative Management of Fractures of the Lateral Condyle of the Humerus in Children

PURPOSE: Delayed presentation of lateral condylar fractures of the humerus is relatively common in the developing regions of the world. These fractures are difficult to manage because of the displacement and fibrosis around the condylar fragment secondary to the delay. There is a paucity of literature concerning the management of these fractures. An oft repeated finding is the requirement of extensive dissection around the fragment for proper reduction. The purpose of this study was to assess the efficacy of surgical management of lateral condylar fractures with delayed presentation. METHODS: We assessed the results of lateral condylar fracture fixation in 20 cases with delayed presentation. RESULTS: The lateral condylar fractures in patients with a delayed presentation can be managed surgically with good results. CONCLUSIONS: Open reduction and internal fixation should continue to be the method of choice for the management of lateral condylar fractures which report late for management.