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KMID : 0361620080430010024
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Journal of the Korean Orthopaedic Association
2008 Volume.43 No. 1 p.24 ~ p.29
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Surgical Treatment of Late Presented Displaced Lateral Condylar Fracture of the Humerus in Children
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Bae Ki-Cheor
Song Kwang-Soon
Kang Chul-Hyung
Min Byung-Woo
Cho Chul-Hyun
Sakong Hyub
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Abstract
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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 and Methods: 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.
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KEYWORD
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Lateral condyle fracture of the humerus, Late open reduction, Children
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