Open reduction and percutaneous pinning for medial condyle fractures of elbow in children: is it a risk for complications?
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20161861Keywords:
Medial condyle, Fracture, Elbow, Children, Open reduction, ComplicationAbstract
Background: There are limited cases of humerus medial condyle fracture in the literature treated by open reduction and percutaneous pinning. This study presents cases treated by open reduction and percutaneous pinning and discussed the problems reported in the literature.
Methods: Nine cases were treated by open reduction and percutaneous pinning between 2006-2014. These cases were followed for nonunion, avascular necrosis, range of motion, nerve lesion and infection for 15.3 months (range 11 to 18 months).
Results: No non-union, avascular necrosis, iatrogenic nerve lesion or infection developed in our cases. All patients gained full range of motion.
Conclusions: This study presents that surgical technique and early timing of surgery prevents the complications.
References
Bensahel H, Csukonyi Z, Badelon O, Badaoui S. Fractures of the medial condyle of the humerus in children. J Pediatr Orthop. 1986;6:430-3.
Chacha PB. Fracture of the medical condyle of the humerus with rotational displacement. Report of two cases. J Bone Joint Surg Am. 1970;52:1453-8.
Ingersoll RE. Fractures of the humeral condyles in children. Clin Orthop Relat Res. 1965;41:32-42.
Papavasiliou V, Nenopoulos S, Venturis T. Fractures of the medial condyle of the humerus in childhood. J Pediatr Orthop. 1987;7:421-3.
Fowles JV, Kassab MT. Displaced fractures of the medial humeral condyle in children. J Bone Joint Surg Am. 1980;62:1159-63.
Hanspal RS. Injury to the humeral condyle in a child reviewed after 18 years. J Bone Joint Surg. 1985;67-B:638-9.
Ippolito E, Tudisco C, Farsetti P, Caterini R. Fracture of the humeral condyles in children. Acta Orthop Scand. 1996;67:173-8.
Gosens T, Bongers KJ. Neurovascular complications and functional outcome in displaced supracondylar fractures of the humerus in children. Injury. 2003;34:267-73.
Kilfoyle RM. Fractures of the medial condyle and epicondyle of the elbow in children. Clin Orthop. 1965;41:43-50.
Haraldsson S. On osteochondrosis deformas juvenilis capituli humeri including investigation of intra-osseous vasculature in distal humerus. Acta Orthop Scand Suppl. 1959;38:1-232.
Ghawabi MH. Fracture of the medial condyle of the humerus. J Bone Joint Surg Am. 1975;57:677-80.
Leet AI, Young C, Hoffer MM. Medial condyle fractures of the humerus in children. J Pediatr Orthop. 2002;22:2-7.
Griffith JF, Roebuck DJ, Cheng JC, Chan YL, Rainer TH, Ng BK, et al. Acute elbow trauma in children: spectrum of injury revealed by MR imaging not apparent on radiographs. AJR Am J Roentgenol. 2001;176:53-60.
