Surgical management of displaced fractures of the lateral humeral condyle in children: results of eight-year follow-up

Volume: 35 Number: 1 September 11, 2006
  • Metin Kucukkaya
  • Mehmet Tezer
  • Serkan Uludag
  • Unal Kuzgun
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Acta Orthopaedica et Traumatologica Turcica
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Surgical management of displaced fractures of the lateral humeral condyle in children: results of eight-year follow-up

Abstract

Objectives: To evaluate long-term results of surgical treatment of fractures of the lateral humeral condyle in children. Methods: We evaluated 62 children (mean age 6.9 years) who underwent open reduction and osteosynthesis with Kirschner wires for lateral humeral condyle fractures. According to the Milch classification, 53 cases had type II and nine cases had type I fractures. Displacement was above 2 mm in all cases. The results were evaluated using the Hardacre criteria, based on the range of motion, carrying angle, pain, arthritis, and neurological symptoms. The mean follow-up was eight years (range 2 to 12 years). Results: According to the Hardacre criteria, the results were excellent, good, and poor in 36, 23, and three cases, respectively. Three patients had a valgus deformity exceeding 15 degrees, and nine patients exhibited fishtail deformity. Conclusion: The extent of displacement is important in the selection of treatment, and it should be assessed with oblique radiographs. Conservative therapy is indicated for fractures with a displacement of less than 2 mm. Those with a greater displacement should be reduced anatomically and then treated with minimal osteosynthesis.

Keywords

Details

Primary Language

English

Subjects

-

Journal Section

-

Authors

Metin Kucukkaya This is me

Mehmet Tezer This is me

Serkan Uludag This is me

Unal Kuzgun This is me

Publication Date

September 11, 2006

Submission Date

March 6, 2014

Acceptance Date

-

Published in Issue

Year 1970 Volume: 35 Number: 1

DOI

https://doi.org/10.3944/aott.v35i1.1706

IZ

https://izlik.org/JA42JR37JH

Cite

RIS / Bibtex
APA
Kucukkaya, M., Tezer, M., Uludag, S., & Kuzgun, U. (2006). Surgical management of displaced fractures of the lateral humeral condyle in children: results of eight-year follow-up. Acta Orthopaedica et Traumatologica Turcica, 35(1), 16-20. https://doi.org/10.3944/aott.v35i1.1706
AMA
1.Kucukkaya M, Tezer M, Uludag S, Kuzgun U. Surgical management of displaced fractures of the lateral humeral condyle in children: results of eight-year follow-up. Acta Orthopaedica et Traumatologica Turcica. 2006;35(1):16-20. doi:10.3944/aott.v35i1.1706
Chicago
Kucukkaya, Metin, Mehmet Tezer, Serkan Uludag, and Unal Kuzgun. 2006. “Surgical Management of Displaced Fractures of the Lateral Humeral Condyle in Children: Results of Eight-Year Follow-up”. Acta Orthopaedica et Traumatologica Turcica 35 (1): 16-20. https://doi.org/10.3944/aott.v35i1.1706.
EndNote
Kucukkaya M, Tezer M, Uludag S, Kuzgun U (September 1, 2006) Surgical management of displaced fractures of the lateral humeral condyle in children: results of eight-year follow-up. Acta Orthopaedica et Traumatologica Turcica 35 1 16–20.
IEEE
[1]M. Kucukkaya, M. Tezer, S. Uludag, and U. Kuzgun, “Surgical management of displaced fractures of the lateral humeral condyle in children: results of eight-year follow-up”, Acta Orthopaedica et Traumatologica Turcica, vol. 35, no. 1, pp. 16–20, Sept. 2006, doi: 10.3944/aott.v35i1.1706.
ISNAD
Kucukkaya, Metin - Tezer, Mehmet - Uludag, Serkan - Kuzgun, Unal. “Surgical Management of Displaced Fractures of the Lateral Humeral Condyle in Children: Results of Eight-Year Follow-up”. Acta Orthopaedica et Traumatologica Turcica 35/1 (September 1, 2006): 16-20. https://doi.org/10.3944/aott.v35i1.1706.
JAMA
1.Kucukkaya M, Tezer M, Uludag S, Kuzgun U. Surgical management of displaced fractures of the lateral humeral condyle in children: results of eight-year follow-up. Acta Orthopaedica et Traumatologica Turcica. 2006;35:16–20.
MLA
Kucukkaya, Metin, et al. “Surgical Management of Displaced Fractures of the Lateral Humeral Condyle in Children: Results of Eight-Year Follow-up”. Acta Orthopaedica et Traumatologica Turcica, vol. 35, no. 1, Sept. 2006, pp. 16-20, doi:10.3944/aott.v35i1.1706.
Vancouver
1.Metin Kucukkaya, Mehmet Tezer, Serkan Uludag, Unal Kuzgun. Surgical management of displaced fractures of the lateral humeral condyle in children: results of eight-year follow-up. Acta Orthopaedica et Traumatologica Turcica. 2006 Sep. 1;35(1):16-20. doi:10.3944/aott.v35i1.1706