Capitellar fractures in children
1Orthopaedic Trauma Department, University Children's Hospital of Cracow, Poland.
Ortopedia, Traumatologia, Rehabilitacja
|February 20, 2015
Summary
Non-displaced capitellar fractures are best treated conservatively. Fractures with significant displacement (over 2 mm) require surgical intervention with K-wire fixation for optimal outcomes in pediatric patients.
Area of Science:
- Orthopedic surgery
- Pediatric traumatology
Background:
- Capitellar fractures are rare pediatric elbow injuries.
- Limited literature exists on capitellar fracture treatment in Poland.
Purpose of the Study:
- To present treatment outcomes for pediatric capitellar fractures.
- To compare findings with existing international literature.
Main Methods:
- Retrospective analysis of 9 pediatric patients (ages 7-17) with capitellar fractures.
- Classification based on fracture displacement (>2 mm).
- Treatment modalities included conservative management and surgical fixation (bioabsorbable pin or K-wires).
- Functional outcomes assessed using Mayo Elbow Score (MES) and Oxford Elbow Score (OES).
Main Results:
- 89% of fractures had >2 mm displacement, requiring surgical intervention.
- One patient with non-displaced fracture received conservative treatment.
- Surgical fixation involved K-wires in 7 patients and a bioabsorbable pin in one.
Conclusions:
- Non-displaced capitellar fractures warrant conservative management.
- Surgical reduction and percutaneous K-wire fixation are recommended for displaced capitellar fractures (>2 mm).
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