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Outcomes for Completely Displaced and Rotated Lateral Humeral Condyle Fractures in Children: A Multicenter Study.

Jake H Goldfarb1, Rohit Siddabattula1, Daniel E Pereira1

  • 1Department of Orthopaedic Surgery, WashU Medicine, St. Louis, MO.

Journal of Pediatric Orthopedics
|December 9, 2025
PubMed
Summary
This summary is machine-generated.

Outcomes for Song V lateral humeral condyle fractures were comparable between open reduction and percutaneous pinning (ORPP) and open reduction and screw fixation (ORSF). Infection rates were higher with ORPP, and closed reduction may be a viable alternative.

Keywords:
elbowoutcomespediatricstrauma

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Area of Science:

  • Orthopedic surgery
  • Pediatric orthopedics
  • Trauma surgery

Background:

  • Song V lateral humeral condyle fractures involve displaced and rotated fragments.
  • Historically treated with open reduction and percutaneous pinning (ORPP) or screw fixation (ORSF).

Purpose of the Study:

  • To describe outcomes of Song V fractures.
  • Analyze the effect of fixation and reduction type on outcomes.

Main Methods:

  • Retrospective review of 281 Song V fractures in children aged 1-12.
  • Data collected from 6 level 1 trauma centers (2005-2019).
  • Assessed radiographic healing and complications (nonunion, stiffness, infection).

Main Results:

  • Nonunion and deep infection occurred in approximately 2% of patients.
  • Outcomes were comparable between ORSF and ORPP regarding healing, nonunion, and stiffness.
  • Increased infection rates were observed with ORPP (all 12 infections in K-wire group).
  • Closed reduction showed potentially lower rates of infection and stiffness compared to open reduction.

Conclusions:

  • This is the largest analysis of Song V fractures to date.
  • ORSF and ORPP demonstrate comparable outcomes, with ORPP associated with higher infection risk.
  • Closed reduction may be noninferior to open reduction, warranting further investigation.