Khalid Mahmood, Faaiz Ali Shah, Ghulam Atiq, Shahab-ud-din, Wali Mohammad Mehsud, Abdur Rehman Qureshi, Iqtidar Ullah Babar.
Outcome of open reduction and internal fi xation of fracture lateral condyle of humerus in children presented late.
Pak J Surg Jan ;30(3):263-7.

Ojective: To evaluate the radiological and functional outcome of open reduction and internal fi xation of fracture lateral condyle of humerus in children who presented late. Study design: Descriptive case series Place and duration: Orthopaedic & Trauma Unit “A” Lady reading Hospital Peshawar from February 2013 to July 2014. Material and methods: All children with displaced fracture lateral humeral condyle presenting within 3 to 8 weeks aft er injury meeting the inclusion and exclusion criteria were openly reduced and stabilized with K wires or a screw. Patients were followed for fracture alignment and reduction, radiological union, elbow range of movement, deformity, and avascular necrosis postoperatively, every week for 1 month and then monthly for 8 months. Th e fi nal outcome was assessed at 8th month post operatively and results evaluated as excellent, good, fair and poor using Modifi ed Aggarwal et al Criteria. Results: Twenty fi ve children (18 boys and 7 girls) with mean age 6.5 years (range 4.3-11 years) underwent surgery. Twenty three (92%) children completed the study while two (8%) were lost to follow up. Overall excellent results were achieved in majority (73.9%, n= 17) of patients while good, fair and poor results were reported in 3(13%), 2(8.6%) and 1(4.3%) patients respectively. Avascular necrosis of the fragment was documented in 1(4.3%) patient, premature fusion of the physis in 1(4.3%) limitation of elbow movements in 6(26%) while alteration in carrying angle was reported in 3(13%) patients. Conclusion: Open reduction and internal fi xation of lateral condyle of humerus in children yields excellent results in majority of cases who have late presentation. We therefore, recommend open reduction and internal fi xation of all displaced fractures of the lateral condyle of humerus presenting within 3 to 8 weeks aft er injury.

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