Screw osteosynthesis of displaced lateral humeral condyle fractures in children

A mid-term review

W. P. Loke, Ya Mohamad Hassan Shukur, J. K. Yeap

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Displaced humeral condyle fractures in children are traditionally fixed with smooth Kirschner wire at the expense of a risk of secondary displacement following removal of wire. Screw fixation of such fractures has recently been advocated as it provides stable fixation. We have been using screw osteosynthesis for treatment of displaced lateral humeral condyle fractures to children in our institution since the turn of this century. This study provides a midterm review of treatment of such injuries with special regards to growth disturbances after screw osteosynthesis and to assess rate of union with a view to formulate guidelines for screw removal. We review the outcomes of screw osteosynthesis for displaced lateral condyle fracture of the humerus (19 Milch type-1 and 15 Milch type-II) to 34 children treated in our institution from January 2000 to March 2004. The average age of the patients was 6.1 years. The average follow up was 24.5 months. Screw osteosynthesis led to union (average 6.9 weeks) in all patients with excellent results in 28 patients. Growth disturbances in the form of lateral condyle overgrowth (2 patients), valgus deformity secondary to lateral condyle avascular necrosis (2 patients) and fishtail deformity ((3 patients) were recognized. The implants should not be removed until fracture union is established. Screw osteosynthesis of the lateral humeral condyle fracture prevents secondary fracture redisplacement and lateral condyle overgrowth is probably related to hyperemic response to metaphyseal fixation and early removal of implant before radiological union.

Original languageEnglish
Pages (from-to)40-44
Number of pages5
JournalMedical Journal of Malaysia
Volume61
Issue numberSUPPL. A
Publication statusPublished - Feb 2006

Fingerprint

Humeral Fractures
Bone and Bones
Bone Wires
Fracture Fixation
Humerus
Growth
Necrosis
Guidelines
Wounds and Injuries
Therapeutics

Keywords

  • Humeral condyle fracture
  • Screw osteosynthesis

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Screw osteosynthesis of displaced lateral humeral condyle fractures in children : A mid-term review. / Loke, W. P.; Shukur, Ya Mohamad Hassan; Yeap, J. K.

In: Medical Journal of Malaysia, Vol. 61, No. SUPPL. A, 02.2006, p. 40-44.

Research output: Contribution to journalArticle

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