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Operative Management of Late Presented Displaced Lateral Condyle Fracture of Humerus in Children
INTRODUCTION: Management of late presented displaced fracture of lateral condyle of humerus in children is controversial, many recommend conservative management due to fear of complications like avascular necrosis but recently many are advocating for operative management with good results hence we s...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Journal of the Nepal Medical Association
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8997322/ https://www.ncbi.nlm.nih.gov/pubmed/30058637 |
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author | Chhetri, Rajendra Sanjel Dhakal, Indra Gnawali, Gopal |
author_facet | Chhetri, Rajendra Sanjel Dhakal, Indra Gnawali, Gopal |
author_sort | Chhetri, Rajendra Sanjel |
collection | PubMed |
description | INTRODUCTION: Management of late presented displaced fracture of lateral condyle of humerus in children is controversial, many recommend conservative management due to fear of complications like avascular necrosis but recently many are advocating for operative management with good results hence we studied the outcome of operative management in late presented displaced lateral condyle fracture of humerus in children. METHODS: We studied 22 children aged between 4 to 11 years, presenting 3 to 16 weeks from injury. All underwent open reduction and internal fixation with Kirschner wires with or without additional screw and followed up for average 18.05 months. Elbow range of motion, angular or local deformity, premature fusion of physis, avascular necrosis and fracture union were noted and analyzed using modified Aggarwal et al criteria. RESULTS: We had 9 (40.91%) excellent, 5 (22.73%) good, 5 (22.73%) fair, 3 (13.63%) poor result. Overall satisfactory results were seen in 19 (86.37%); 3 (13.63%) had poor result, one due to AVN, two due to premature fusion of physis and visible local deformity. All poor result were seen among delay of operation 6 weeks or later. There was significant improvement of elbow range of motion and all fracture united. CONCLUSIONS: Outcome of operation without bone grafting on lateral condyle fracture of humerus in children who presents late up to 5 weeks are excellent; whereas outcome of delayed operation up to 16 weeks also gives good functional recovery and union. |
format | Online Article Text |
id | pubmed-8997322 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Journal of the Nepal Medical Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-89973222022-05-06 Operative Management of Late Presented Displaced Lateral Condyle Fracture of Humerus in Children Chhetri, Rajendra Sanjel Dhakal, Indra Gnawali, Gopal JNMA J Nepal Med Assoc Original Article INTRODUCTION: Management of late presented displaced fracture of lateral condyle of humerus in children is controversial, many recommend conservative management due to fear of complications like avascular necrosis but recently many are advocating for operative management with good results hence we studied the outcome of operative management in late presented displaced lateral condyle fracture of humerus in children. METHODS: We studied 22 children aged between 4 to 11 years, presenting 3 to 16 weeks from injury. All underwent open reduction and internal fixation with Kirschner wires with or without additional screw and followed up for average 18.05 months. Elbow range of motion, angular or local deformity, premature fusion of physis, avascular necrosis and fracture union were noted and analyzed using modified Aggarwal et al criteria. RESULTS: We had 9 (40.91%) excellent, 5 (22.73%) good, 5 (22.73%) fair, 3 (13.63%) poor result. Overall satisfactory results were seen in 19 (86.37%); 3 (13.63%) had poor result, one due to AVN, two due to premature fusion of physis and visible local deformity. All poor result were seen among delay of operation 6 weeks or later. There was significant improvement of elbow range of motion and all fracture united. CONCLUSIONS: Outcome of operation without bone grafting on lateral condyle fracture of humerus in children who presents late up to 5 weeks are excellent; whereas outcome of delayed operation up to 16 weeks also gives good functional recovery and union. Journal of the Nepal Medical Association 2018 2018-02-28 /pmc/articles/PMC8997322/ /pubmed/30058637 Text en Journal of the Nepal Medical Association https://creativecommons.org/licenses/by-nc/3.0/This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Chhetri, Rajendra Sanjel Dhakal, Indra Gnawali, Gopal Operative Management of Late Presented Displaced Lateral Condyle Fracture of Humerus in Children |
title | Operative Management of Late Presented Displaced Lateral Condyle Fracture of Humerus in Children |
title_full | Operative Management of Late Presented Displaced Lateral Condyle Fracture of Humerus in Children |
title_fullStr | Operative Management of Late Presented Displaced Lateral Condyle Fracture of Humerus in Children |
title_full_unstemmed | Operative Management of Late Presented Displaced Lateral Condyle Fracture of Humerus in Children |
title_short | Operative Management of Late Presented Displaced Lateral Condyle Fracture of Humerus in Children |
title_sort | operative management of late presented displaced lateral condyle fracture of humerus in children |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8997322/ https://www.ncbi.nlm.nih.gov/pubmed/30058637 |
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