Outcome of open reduction and internal fixation in lateral condyle humeral fractures in pediatrics

Background: Lateral condyle fractures of the distal humerus are the second most common fractures at the elbow in the paediatric population usually between the ages of 6-10 years old making up 5-20% of fractures in children. The aim of the present study was to assess the early results of patients with a displaced lateral humeral condyle fracture treated with open reduction and internal fixation. Methods: Our clinical trial was conducted involving 12 patients treated with open reduction and internal fixation (ORIF). Preoperative stage included clinical evaluation, routine investigations and radiological evaluation. Fractures were classified using the Milch. Patients were followed up weekly until radiological union of the fracture was evident. Results: 83.3% of our patients were males, while 16.7% were females. According to mechanism of injury, falling down continues to play a major role in causing disability. At (3-5) weeks all cases were with soft callus remove K wire; at 8 weeks, all cases were with union fracture; but at 12 weeks, one case (8.3%) was with mild stiffness and the rest was with full range of motion. As regards the carrying angle in our study, only 16.7% were with abnormal carrying angle. 33.3% were complicated; one case with mild limitation of motion and valgus; one case with varus and two cases with superficial infection. Conclusions: The open reduction and internal fixation of lateral humeral condyle fracture is the ideal treatment and it has a rate of complications

use of fasciocutaneous flap in leg soft tissue deffects with underlying chronic osteomyelities

This study includes 22 cases of chronic osteomyeitis tibia with overlying soft tissue defects. The youngest age was fifteen and the eldest was sixty-five. Seventeen patients were males and five were females. In 10 patients chronic osteomyeitis [Ch.O.M] was a sequel to acute hematogenous type, in 8 due to open fracture tibia and in 4 patients it was secondary to chronic leg ulcer. All of them were treated by extensive debridement, sequestrectomy and fasciocutaneous flaps. The results were satisfactory in 18 patients [81.8%] and unsatisfactory in 4 patients [18.2%], with ecunence of bone infection in 3 patients and complete failure of flap in one patient