Abdul Latif Shahid, Abdul Latif Sami, Asim Saifullah.
Union in Neglected Humeral Lateral Condylar Fractures in Children after Open Reduction and Internal Fixation.
Pak J Med Health Sci Jan ;12(3):1067-9.

Background: Humeral lateral condylar fractures are the second most common distal humeral fractures, after supracondylar humeral fractures and comprises of 12-20% of all distal humeral pediatric fractures. Usual age of occurance is 6 years. Sometimes patients presented late due to many reasons. These patients have non-union if not treated properly. Cubitus valgus, tardy ulnar nerve pain and lateral instability of elbow are late complications . No local study is available when neglected humeral lateral condylar fractures in children are treated by open reduction and internal fixation. Aim: To determine union in neglected humeral lateral condylar fractures in children after open reduction and internal fixation . Methods: In this study, 65 children with neglected humeral lateral condylar fractures were enrolled from accident and emergency department of The Children's Hospital and the Institute of Child Health, Lahore during six months (from September 2017 to February 2018 ). These fractures were treated by open reduction through lateral approach and then internal fixation and union was analysed at 12th week both clinically and radiologically. Bridging callus on antero-posterior and lateral views at 12th postoperative week and no pain at fracture site was acceptable criteria for union. Results: In our study population 65 patients were included with mean age of 7.83 +/- 3.029 ranged from 3 to 14 years of age. 46 patients (70.8%) were male and remaining 19 patients (29.2%) were female. 57 patients (87.7%) showed union. There was no effect of age, gender, malnutrition, body mass index on outcome. Conclusion: It is concluded that union (87.7%) is acceptable in neglected humeral lateral condylar fractures in children after open reduction and internal fixation.

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