CANNULATED SCREW FIXATION FOR DISPLACED LATERAL CONDYLE HUMERAL FRACTURES IN CHILDREN | ||
| Egyptian Journal of Orthopedic Research | ||
| Article 5, Volume 4, Issue 2, December 2023, Pages 71-77 PDF (545.83 K) | ||
| Document Type: Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations | ||
| DOI: 10.21608/ejor.2023.346404 | ||
| Authors | ||
| Bassam Abdalraheem Abdalbaset; Ahmed Hamed Kassem; Ashraf Rashad Marzouk; El-shazly Saleh Mousa | ||
| Orthopedic and Traumatology dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt | ||
| Abstract | ||
| Background: lateral condyle humeral fracture is one of the commonest elbow fractures in children. open reduction and Smooth Kirschner wires (K-wires) are the most commonly used method for fixation of lateral condyle humeral fracture in children. Few Authors suggest the use of cannulated cancellous (CC) screws for fracture fixation as it provides compression at the fracture site and provides more stability. The aim of this study was to evaluate the clinical outcome of displaced lateral condyle fracture of humerus in children treated with open reduction and cannulated cancellous screws fixation. Methods: This study was conducted on 20 patients with a closed lateral condylar fracture with more than 2 mm of displacement in a child less than 14 years of age, injured for less than two weeks. The patients were treated with open reduction and CC screws. Results: The 3 months follow up mayo score, time of union, and Hard et al criteria at 3 months showed excellent results. There were no statistically complications. Conclusions: Orthopaedic surgeons often use K-wires or screws for fixation of fractures of the lateral condyle. In this study, we used screw fixation and found excellent results in terms of functional outcome, time to union, or post-operative complications. Considerations for long-term monitoring and screw removal to evaluate growth outcomes are also important. | ||
| Keywords | ||
| Kirschner wires; cannulated screws; lateral condyle; humeral fracture | ||
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