Condyle Fractures Of Humerus Research Articles

Ultrasound-guided closed reduction and kirschner wires internal fixation for the treatment of KilfoyleⅡand Ⅲ medial condylar fracture of humerus in children

To explore clinical effectiveness and safety of ultrasound-guided closed reduction and K-wires internal fixation in treating of Kilfoyle Ⅱand Ⅲ medial condylar fracture of humerus in children. Clinical data of 32 children with medial condylar fracture of humerus treated with closed reduction and internal fixation with K-wires under the guidance of ultrasound were retrospectively analyzed from January 2014 to August 2019, including 23 males and 9 females, age ranged from 3.2 to 12.8 years old with an average of (8.3±2.1) years old;According to classification of Kilfoyle, 12 patients classified to typeⅡ and 20 patients were type Ⅲ;5 patients combined with elbow dislocation;the time from injury to operation ranged from 1 to 5 days with an average of (3.1±1.3) days. Radiological evaluation of treatment results and complications were observed. At the final follow up, Mayo elbow performance score(MEPS) was used to evaluate elbow function. And humerus-ulna angle on the affect side and healthy side were measured and compared. All patients were followed up from 8 to 26 months with an average of(19.3±5.5) months. All fractures were healed well, the healing time ranged from 4 to 6 weeks with an average of (4.5±0.5) weeks. No infection, vascular and nerve injury, bone nonunion, trochlear necrosis, cubitus varus or valgus deformity were occurred. According to Mayo scoring, all patients were assessed as excellent. There was no significant difference in angle of humerus-ulna between affectedside (9.5±3.6)° and healthy side (9.1±3.5)°, and no difference in MEPS scores between affected side(95.3±2.5) and healthy side(96.3±2.2)(P>0.05). For Kilfoyle typeⅡand Ⅲ medial condylar fracture of humerus in children, closed reduction and internal fixation with K-wire under ultrasound guidance is a safe and effective method, and could promote in further.

Treatment of supra condylar fractures of humerus in children, a SKIMS medical college study

<p class="abstract"><strong>Background:</strong> Supracondylar fractures of the humerus account for sixty percent of all fractures around the elbow in children. Delayed presentation of these fractures is very common even in developed countries. The aim of the present study was to evaluate the clinical, radiological and functional results following closed reduction (C/R) and percutaneous pinning of widely displaced supracondylar fractures of humerus. An objective of this study was to study supracondylar fractures of humerus in children in Skims medical College.</p><p class="abstract"><strong>Methods:</strong> A total 86 patients with displaced extension type supracondylar fractures (gartland type III) of humerus were managed by closed reduction and percutaneous fixation at Skims medical college after achieving optimal and satisfactory reduction. There were 52 boys and 28 girls. Average age was 6.69 years (range 2-12).<strong></strong></p><p class="abstract"><strong>Results:</strong> A total 86 patients were successfully treated with C/R and cross pinning. 6 patients were lost to follow-up. 80 patients with a minimum follow-up period of 12 months formed the basis of this study.</p><p class="abstract"><strong>Conclusions:</strong> C/R and pinning is effective method despite delayed presentation. Strict anatomical reduction and stable fixation minimises the risk of developing cubitus varus deformity.</p>

Arthrography in treatment of humeral condyle fractures with displacement of less than 2 mm in children

Objective To evaluate the clinical efficacy of arthrography in the treatment of lateral condylar fracture of humerus with displacement of ≤ 2 mm in children. Methods A retrospective study was performed in the 21 children with lateral condylar fracture of humerus who had received arthrography in their surgery at Department of Pediatric Orthopedics, Honghui Hospital, Xi'an Jiaotong University College of Medicine from April 2015 to December 2016. They were 14 boys and 7 girls, aged from 5 to 12 years (average, 8.6 years). Their primary diagnosis was made within one week from injury and they all had a displacement of ≤ 2 mm. Of them, 2 were treated by plaster fixation because intraoperative arthrography found no fracture of articular cartilage (group A), 11 by simple closed pining because intraoperative arthrography found fracture of articular cartilage involving the joint space (group B), and 8 by open reduction and fixation with kirschner wire because intraoperative arthrography found displacement of the involved articular surface (group C). The therapeutic efficacy was evaluated at final follow-ups by the Dhillon scoring system. Results All the 21 children were followed up from 9 to 23 months (average, 16 months). The fracture union time ranged from 8 to 10 weeks (average, 9 weeks) for groups A and B and from 11 to 13 weeks (average, 12 weeks) for group C. By the Dhillon scores at final follow-ups, the therapeutic efficacy was evaluated as excellent in one and as good in one in group A, as excellent in 8 cases, as good in 2 cases and as fair in one in group B, and as excellent in 6 cases, as good in one and as fair in one in group C. No early closure of epiphysis, osteonecrosis or fishtail deformity was found in either group A or group B; one case of partial limitation of elbow flexion or extension, one case of fishtail deformity and one case of femoral head necrosis were observed in group C. No infection or skin necrosis was found in any of the 3 groups. Conclusions Because intraoperative arthrography can definitely judge whether the articular surface is intact or unstable, it can make up for the insufficiency of X-rays in judging integrity of the articular surface. In combination with closed reduction, percutaneous puncture or open reduction and internal fixation, intraoperative arthrography can contribute to an increased rate of successful surgery, and reduced complications due to redisplacement. Key words: Elbow joint; Arthrography; Child; Lateral condylar fracture

Operative Management of late Presented Displaced Lateral Condyle Fracture of Humerus in Children

Management of late presented displaced fracture of lateral condyle of humerus in children is controversial, many recommend conservative management due to fear of complications like avascular necrosis but recently many are advocating for operative management with good results hence we studied the outcome of operative management in late presented displaced lateral condyle fracture of humerus in children. We studied 22 children aged between 4 to 11 years, presenting 3 to 16 weeks from injury. All underwent open reduction and internal fixation with Kirschner wires with or without additional screw and followed up for average 18.05 months. Elbow range of motion, angular or local deformity, premature fusion of physis, avascular necrosis and fracture union were noted and analyzed using modified Aggarwal et al criteria. We had 9 (40.91%) excellent, 5 (22.73%) good, 5 (22.73%) fair, 3 (13.63%) poor result. Overall satisfactory results were seen in 19 (86.37%); 3 (13.63%) had poor result , one due to AVN, two due to premature fusion of physis and visible local deformity. All poor result were seen among delay of operation 6 weeks or later. There was significant improvement of elbow range of motion and all fracture united. Outcome of operation without bone grafting on lateral condyle fracture of humerus in children who presents late up to 5 weeks are excellent; whereas outcome of delayed operation up to 16 weeks also gives good functional recovery and union.

"Screw fixation for Lateral Condylar Fracture of Humerus in Children"

"Screw fixation for Lateral Condylar Fracture of Humerus in Children"

Outcomes of K-Wire Removal at 3 Weeks in Lateral Condyle Fractures of Humerus in Children

Outcomes of K-Wire Removal at 3 Weeks in Lateral Condyle Fractures of Humerus in Children

Open reduction and Kirschner wire fixation for treatment of humeral lateral condylar fractures in children

Objective To investigate the early diagnosis and treatment strategies of lateral condylar fractures of humerus in children.Methods From July 2010 to July 2012,15 patients with humeral lateral condyle fractures were treated with open reduction and internal fixation with Kirschner wires in our hospital.The treatment outcomes were assessed using Flynn functional criteria and radiographical assessment of osteoarthritis or heterotopic ossification around the elbow.Results All the patients were follow-up for a mean time of 18.5 months (range,13 to 27 months).Bony healing was achieved in all the patients,within an average of 2.0 months (range,1.4 to 2.7 months).No nonunion and delayed union were observed in X-ray films.According to Flynn criteria,the results were excellent in 13 cases and good in 2 cases.Conclusion Displaced humerus lateral condyle fracture is easy to be misdiagnosed or missed because ossification occurs late in children.The fracture therefore doesn't show on X-rays.Early diagnosis is important in order to reduce various deformities and complications.Open reduction and crossed Kirschner wire fixation can lead to satisfactory reduction and firm fixation with fewer complications.At present it is an ideal method for treatment of lateral condylar fracture of humerus in children. Key words: Child; Humerus fractures; Early diagnosis; Lateral condyle

Medial condyle fracture of the distal humerus in an adolescent with pre-existing fishtail deformity. A case report

Medial condyle fractures of the humerus are rare in any age group. We report a unique case of a humeral medial condyle fracture in a 15-year-old boy with posttraumatic fishtail deformity. The fracture line extended up from the top of the sharp trochlear wedge to the incomplete medial supracondylar cortical aperture. The appearance of the upward displacement and computed tomography imaging with three-dimensional reconstruction at the two different elbow positions suggested that an edge of the semilunar notch of the olecranon acted as a wedge to break and split the trochlea directly. This is the first visualized case of a wedge type injury and may provide evidence that humeral medial condyle fractures can be produced by the wedge force besides the valgus avulsion one.

Severely Displaced and Rotated Lateral Condylar Fracture of Humerus in Children

Eight children between 4 and 10 years old with displaced and rotated fractures of the lateral humeral condyle were treated by open reduction and internal fixation. In all cases union occurred. There were no complications apart from one case developed stiff elbow which need manipulation under anaesthesia later on.

Diagnosis and Treatment of the Lateral Condylar Fracture of Humerus Traversing the Capitulum in Children

Diagnosis and Treatment of the Lateral Condylar Fracture of Humerus Traversing the Capitulum in Children

Complication of Lateral Condyle Fracture of Humerus in a Patient with Hereditary Sensory Autonomic Neuropathy Type IV: A Case Report

Complication of Lateral Condyle Fracture of Humerus in a Patient with Hereditary Sensory Autonomic Neuropathy Type IV: A Case Report

A Clinical Study for the Chang in Carrying Angle After healing of Lateral condylar Fracture of Humerus in Children

A Clinical Study for the Chang in Carrying Angle After healing of Lateral condylar Fracture of Humerus in Children