Outcomes of ORIF >7 Days After Injury in Displaced Pediatric Lateral Condyle Fractures

Journal of Pediatric Orthopedics
Mauricio SilvaGal Sadlik

Abstract

The purpose of the present study was to evaluate the effects of surgical timing on the outcome of pediatric lateral condyle fractures (LCF). We hypothesize that performing open reduction and internal fixation (ORIF) for a displaced LCF between 7 and 14 days after the occurrence of injury does not result in significant changes in outcome, as compared with those treated within the first 7 days. A total of 181 pediatric LCFs treated with ORIF, with a mean follow-up of 38 weeks and a mean age of 5 years, were included. All information related to the patient's elbow injury was prospectively collected. We identified 2 specific groups: 133 LCFs that were treated within the first 7 days after injury (group 1), and 48 that were treated between 7 and 14 days after injury (group 2). A satisfactory outcome was one in which there was evidence of healing of the fracture, a range of motion of at least 85% of the normal, contralateral side at the latest follow-up, and no evidence of complications, loss of fixation, infection, or avascular necrosis of the lateral condyle. Overall, the mean time from injury to surgery was 5 days (range, 0 to 14 d). Initial fracture displacement was slightly larger in group 1 versus group 2, by a mean of 2.6 mm (...Continue Reading

References

Jul 1, 1994·Journal of Pediatric Orthopedics·C M MintzerJ R Kasser
Jan 4, 2007·The Journal of Bone and Joint Surgery. American Volume·Kwang Soon SongChul Hyun Cho
Dec 3, 2008·The Journal of Bone and Joint Surgery. American Volume·Kwang Soon SongJu Hyub Lee
Jan 12, 2011·Indian Journal of Orthopaedics·Shyam K Saraf, Ghanshyam N Khare
May 6, 2011·The Journal of Bone and Joint Surgery. American Volume·Nicholas M BernthalMauricio Silva
Jun 19, 2012·Journal of Pediatric Orthopedics·Johnatan R PribazMauricio Silva
Aug 16, 2012·Journal of Pediatric Orthopedics·Soumen Das DePeter M Waters
Jan 18, 2013·Indian Journal of Orthopaedics·Anil AgarwalDevreshi Kumar Pandey
Feb 4, 2014·Journal of Children's Orthopaedics·Ashleen KnutsenSophia N Sangiorgio

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Citations

Jul 19, 2018·The Journal of Bone and Joint Surgery. American Volume·Alex McLarenSandra B Nelson
Dec 11, 2019·Journal of Pediatric Orthopedics. Part B·Lior ShabtaiJ Lee Pace

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