Operative treatment of lateral humeral condyle fractures in children

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie
Johannes WirmerGuido Fitze

Abstract

The operative treatment of lateral humeral condyle fractures in children remains controversial. The result of incorrectly treated fractures may lead to complications such as pseudoarthrosis and severe deformity, with considerable functional and cosmetic restrictions. The aim of this study was to determine whether operative treatment of lateral humeral condyle fractures in children using Screw-wires (Orthofix GmbH, Ottobrunn, Germany) has any advantage over treatment with Kirschner wires ("K-wires") (aap-Implantate AG, Berlin, Germany). These results were then compared with operative treatment using lag-screw osteosynthesis. We treated surgically 76 cases of fracture of the lateral humeral condyle in children at the Department of Pediatric Surgery in Dresden between 1989 to 2002 and 2004 to 2008, from which 42 were available for follow-up examination. Within this group, there were seven children that were followed-up twice (in 1996 to 2002). Of these, 21 patients were treated with Screw-wires, and another 21 had K-wires inserted. The results were evaluated according to the Dhillon criteria. Only seven patients (17%) had a fair result in the overall grading according to the Dhillon criteria, four after K-wire and three after Scre...Continue Reading

Citations

Mar 18, 2016·Journal of Pediatric Orthopedics. Part B·Khalid A BakarmanMohamed M Zamzam
Mar 27, 2018·Archives of Orthopaedic and Trauma Surgery·Si Heng Sharon TanJames Hoipo Hui
Apr 27, 2016·JBJS Essential Surgical Techniques·Adam MargalitPaul D Sponseller
Apr 11, 2020·Orthopedic Research and Reviews·Nicholas BirkettAlexander Montgomery
Jul 30, 2020·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·Danielle S Wendling-KeimMarkus Lehner

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