Surgical Treatment of Late Presented Displaced Lateral Condylar Fracture of the Humerus in Children / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 24-29, 2008.
Article
in Korean
| WPRIM
| ID: wpr-655041
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 ANDMETHODS:
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Congenital Abnormalities
/
Lifting
/
Transplants
/
Humerus
/
Necrosis
Limits:
Child
/
Humans
Language:
Korean
Journal:
The Journal of the Korean Orthopaedic Association
Year:
2008
Type:
Article
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