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Delayed Operative Management of Fractures of the Lateral Condyle of the Humerus in Children
A D Shabir1, A D Tahir1, A W Sharief1
1SKIMS Medical College Bemina, Srinagar, Kashmir India.
Insights
Surgical management of delayed lateral condylar humerus fractures yields good outcomes. Open reduction and internal fixation is recommended for these complex cases, even with displacement and fibrosis.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Traumatology
Background:
- Delayed presentation of lateral condylar humerus fractures is common in developing regions.
- These fractures present management challenges due to displacement and fibrosis.
- Limited literature exists on managing these delayed presentations.
Purpose of the Study:
- To evaluate the effectiveness of surgical intervention for delayed lateral condylar humerus fractures.
- To assess the outcomes of managing these challenging fractures.
Main Methods:
- A retrospective assessment of 20 cases with delayed lateral condylar humerus fractures.
- Surgical fixation was performed on all included patients.
Main Results:
- Surgical management of delayed lateral condylar humerus fractures demonstrated favorable results.
- Patients achieved good outcomes following surgical intervention.
Conclusions:
- Open reduction and internal fixation is the preferred surgical method for delayed lateral condylar humerus fractures.
- This approach is effective even when significant displacement and fibrosis are present.
Purpose:
Delayed presentation of lateral condylar fractures of the humerus is relatively common in the developing regions of the world. These fractures are difficult to manage because of the displacement and fibrosis around the condylar fragment secondary to the delay. There is a paucity of literature concerning the management of these fractures. An oft repeated finding is the requirement of extensive dissection around the fragment for proper reduction. The purpose of this study was to assess the efficacy of surgical management of lateral condylar fractures with delayed presentation.
Methods:
We assessed the results of lateral condylar fracture fixation in 20 cases with delayed presentation.
Results:
The lateral condylar fractures in patients with a delayed presentation can be managed surgically with good results.
Conclusions:
Open reduction and internal fixation should continue to be the method of choice for the management of lateral condylar fractures which report late for management.
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