Tag Archive for: Lateral condyle fractures

Fixation of Displaced Paediatric Humeral Lateral Condyle Fractures with 3 K-Wires

Volume 8 | Issue 1 | January-April 2022 | Page: 31-34 | Deepak Jain, Tushar Agrawal, Saijyot Raut, Parimal Malviya

DOI-10.13107/ijpo.2022.v08i01.131

Authors: Deepak Jain MS Ortho [1], Tushar Agrawal MS Ortho [2, 3], Saijyot Raut MS Ortho [2],
Parimal Malviya MS Ortho. [2]

[1] Department of Orthopaedics & Spine Surgery Ganga Hospital, Coimbatore, Tamil Nadu, India.
[2] Department of Orthopaedics, MGM Hospital, Navi Mumbai, Maharashtra, India.
[3] Aastha Hospital, Mumbai, Maharashtra, India.

Address of Correspondence
Dr. Deepak Jain,
Paediatric Orthopaedic Fellow, Department of Orthopaedics & Spine Surgery, Ganga Hospital, Coimbatore, Tamil Nadu, India.
E-mail: deepaksjain1993@gmail.com

Abstract

Background- Management of paediatric humeral lateral condyle fractures by 2 Kirschner wire or screw fixation in parallel or divergent manner remains the treatment of choice and has long remained unchallenged. In this study, we are recommending using a third K wire for fracture fixation technique for the age group less than 10 years which provides a more stable fixation enhances stability and ensures better outcomes without any significant disadvantages.
Materials & Methods- We Present a Cohort of 20 pediatric lateral condyle fractures of Song et al stage 3 and above. Of the 20 patients treated, 12 were male and 8 females. All fractures were fixed using 3 lateral Kirschner wires of size 1.2 or 1.5mm. Out of the 20 fractures, 12 were opened and 8 were fixed percutaneously.
Results- All Patients showed union at 6 weeks. K-wires were removed at 6 weeks. Good radiological and clinical outcomes were noted on the periodical check-up. Hardacre score was used to calculate clinical outcome. None of the patients had any loss of reduction, non-union, or implant-related failure except for pin tract infections in a few patients.
Conclusion- We recommend adding a third wire to the construct for three k wires fixation for lateral condyle humerus fractures in all patients less than 10 years which is useful tool, cost-effective, enhances stability and ensures good outcomes without any significant disadvantages. We found all benefits of the cannulated screws by inserting the third wire and the fracture was found to be biomechanically more stable, none showed loss of reduction, had early union, early mobilization, minimal chances of nonunion, full ROM, no infection with the added advantage of no re-surgery for implant removal
Keywords- Pediatric fractures, Elbow fractures, Lateral condyle fractures, K-wires

References

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How to Cite this Article:  Jain D, Agrawal T, Raut SJ, Malviya P | Fixation of Displaced Paediatric Humeral Lateral Condyle Fractures with 3 K-Wires | International Journal of Paediatric Orthopaedics | January-April 2022; 8(1): 31-34.

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Management of Acute Lateral Condyle Fractures of Humerus

Volume 7 | Issue 2 | May-August 2021 | Page: 30-34 | Sandeep Patwardhan, Arkesh Madegowda

Authors: Sandeep Patwardhan [1], Arkesh Madegowda [1]

[1] Department of Paediatric Orthopaedics, Sancheti Institute of Orthopaedics and Rehabilitation, Pune Maharashtra, India.

Address of Correspondence
Dr Sandeep Patwardhan,
Professor, Paediatric Orthopaedic surgeon, Sancheti Institute of Orthopaedics and Rehabilitation, Pune, Maharashtra, India.
E-mail: sandappa@gmail.com

Abstract

Lateral condyle fractures of humerus are one of the common elbow injuries seen in children. These fractures are often difficult to visualise as fracture line passes through unossified cartilage and may need additional investigations to properly assess the fracture pattern. Non operative management is generally indicated for fractures having <2mm displacement. Closed reduction and percutaneous pinning is recommended for those fractures with >2mm displacement and loss of articular cartilage hinge. Intraoperative arthrogram helps to confirm the fracture reduction and restoration of congruent articular surface. Open reduction and fixation may become necessary for fractures with gross displacement and malrotation of the fragment. Complications of lateral condyle fractures include delayed presentation, malunion, lateral spurring and fishtail deformity.
Keywords: Lateral condyle fractures, Internal oblique view, Arthrogram, Aartilage hinge, Displacement.

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How to Cite this Article:  Patwardhan S, Madegowda A | Management of Acute Lateral Condyle Fractures of Humerus | International Journal of Paediatric Orthopaedics | May-August 2021; 7(2): 30-34.

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