Surgical Treatment of Late Presented Displaced Lateral Condylar Fracture of the Humerus in Children.
10.4055/jkoa.2008.43.1.24
- Author:
Ki Cheor BAE
1
;
Kwang Soon SONG
;
Chul Hyung KANG
;
Byung Woo MIN
;
Chul Hyun CHO
;
Hyub Sa KONG
Author Information
1. Department of Orthopedic Surgery, School of Medicine, Keimyung University, Daegu, Korea. skspos@dsmc.or.kr
- Publication Type:Original Article
- Keywords:
Lateral condyle fracture of the humerus;
Late open reduction;
Children
- MeSH:
Child;
Congenital Abnormalities;
Humans;
Humerus;
Lifting;
Necrosis;
Transplants
- From:The Journal of the Korean Orthopaedic Association
2008;43(1):24-29
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To determine whether late open reduction and internal fixation (ORIF) of a lateral condylar fracture (LCF) after 3 weeks is possible, and to determine the latest time for ORIF without a bone graft. MATERIALS AND METHODS: Eight children underwent late ORIF (>3 weeks) of a displaced LCF (>2.5 mm) of the humerus between 3 weeks and 5 weeks after injury. RESULTS: Clinically, results were excellent in 6 cases and good in 2 cases. There was no serious complication, including nonunion and avascular necrosis (AVN), though 2 cases had a slight fishtail deformity and mild carrying angle loss due to overgrowth of the lateral condyle fragment. CONCLUSION: We believe that 3 weeks is too short to deny open reduction and anatomic reduction for fear of AVN of a late presented lateral condyle fracture of the humerus. The latest time for ORIF in late presented LCF in children is around 5 weeks, and surgical treatment may even be possible after greater delays.
