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KMID : 0386419960090041096
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Journal of the Korean Fracture Society
1996 Volume.9 No. 4 p.1096 ~ p.1103
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Operative Treatment of the Lateral Condyle Fractures of the Humerus in Children
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이범구/Lee, Bum Gu
문도현/고진홍/이수찬/박홍기/강기동/김영/Moon, Do Heun/Ko, Jin Hong/Lee, Su Chan/Park, Hong Ki/Kang, Ki Dong/Kim, Young
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Abstract
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1
Fracture of the lateral humeral condyle is a relatively common injury in children.
The standard treatment of Jakob´s type II and III fractures is open reduction and internal fixation. The treatment of Jakob´s type I fractures is more controversial.
Authors performed clinical and radiological analysed of fifty-two patients of lateral condylar
fracture of the humerus who have been treated with open reduction and internal fixation. They were followed up from one year to five years and two months. The results were as follows ;
1. The age incidence was confined from 3 years to 12 years.
2. There were 14 cases (26.9%) of Milch type 1, 38 cases (73.8%) of Milch type II and according to Jakob´s stage, 20 cases were stage 1, 23 cases were stage II, 9 cases were stage III.
3. All cases were treated by open reduction and Internal fixation.
4. In 5 cases were lateral condyle overgrowth of the humerus, 2 cases were limited ROM of elbow joint, and 2 cases pin site loosening and superficial wound infections observed, And this complications did not result in significant clinical disabilites.
5. Respectively, according to the criteria of Hardacre 41 cases (78.8%) were excellent, 11 cases (21.1 %) were good, and there was no poor case.
6. The fracture type and stage of displacement did not effect the final results, the complications, the complications are due to inaccurate reduction or insecure fixation.
Therefore, open anatomical reduction and stable internal fixation is required to avoid complications, even in stage I displaced fractures.
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KEYWORD
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