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KMID : 0386420080210020151
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Journal of the Korean Fracture Society
2008 Volume.21 No. 2 p.151 ~ p.156
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In Situ Late Metaphyseal Osteosynthesis for the Fractures of the Lateral Humeral Condyle in Children
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Park Kun-Bo
Lee Seung-Hwan
Kim Hyun-Woo
Park Hui-Wan
Lee Ki-Seok
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Abstract
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Purpose: To evaluate the efficacy of the in situ late osteosynthesis for slightly displaced fractures of the lateral humeral condyle.
Materials and Methods: From 2000 to 2004, 12 patients (8 boys and 4 girls) were managed with in situ late osteosynthesis for fractures of the lateral humeral condyle. The average age at the time of operation was 6 years 1 month (1 year 7 months∼9 years 1 month), and the mean amount of fragment displacement was 3.3 mm (2.0∼4.5 mm). The operative procedure included curettage and in situ fixation of the fragment
Results: Bony union was achieved in all cases after avg. 48 months (33∼73 months) follow-up assessment. According to the score system of Dhillon et al, 7 patients had excellent, 3 had good, 2 had fair results. None of the patients developed avascular necrosis or premature closure of the epiphysis.
Conclusion: We suggest that in situ fixation is an effective method for the late treatment of slightly displaced fracture of the lateral humeral condyle.
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KEYWORD
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Lateral humeral condyle, Nonunion, Delayed union, steosynthesis
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