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

Metin Kucukkaya; Mehmet Tezer; Serkan Uludag; Unal Kuzgun

doi:10.3944/aott.v35i1.1706

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

Year 2001, Volume: 35 Issue: 1, 16 - 20, 11.09.2006

Metin Kucukkaya Mehmet Tezer Serkan Uludag Unal Kuzgun

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

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Çocuk lateral humeral kondil kırıklarının cerrahi tedavisi: Ortalama sekiz yıllık sonuçlar

Year 2001, Volume: 35 Issue: 1, 16 - 20, 11.09.2006

Metin Kucukkaya Mehmet Tezer Serkan Uludag Unal Kuzgun

Abstract

Amaç: Cerrahi olarak tedavi edilen çocuk lateral humeral kondil kırıklarının uzun dönem sonuçlarını değerlendirmek.
Çalışma planı: Lateral humeral kondil kırığı nedeniyle açık redüksiyon ve Kirschner teli ile osteosentez yapılan 62 çocuk hasta (yaş ort. 6.9) değerlendirildi. Milch sınıflamasına göre 53 olguda tip II, dokuz olguda tip I kırık saptandı. Kırığın deplasman miktarı tüm olgularda 2 mm’den fazla idi. Sonuçlar, hareket açıklığı, taşıma açısı, ağrı, artrit ve nörolojik semptomları göz önünde bulunduran Hardacre kriterlerine göre değerlendirildi. Ortalama takip süresi 8 yıl (dağılım 2-12 yıl) idi.
Sonuçlar: Hardacre kriterlerine göre 36 olguda mükemmel, 23 olguda iyi, üç olguda kötü sonuç alındı. Üç olguda 15 dereceden fazla valgus deformitesi, dokuz olguda balık kuyruğu deformitesi saptandı.
Çıkarımlar: Kırığın deplasman miktarı tedavi seçiminde belirleyicidir ve deplasman miktarı mutlaka oblik grafiler ile değerlendirilmelidir. Deplasman miktarı 2 mm’den az olan kırıkların tedavisi konservatifdir. Deplasman miktarı fazla olan kırıklarda anatomik redüksiyon sağlanmalı ve minimal osteosontez uygulanmalıdır.

Keywords

Arthrography;Bone nails;casts, surgical;child;elbow/injuries;elbow joint/radiography;fracture fixation;internal/methods;humeral fractures/classification/therapy/surgery;splints

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Details

Primary Language	English
Journal Section	Original Article
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
Published in Issue	Year 2001 Volume: 35 Issue: 1

Cite

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	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. September 2006;35(1):16-20. doi:10.3944/aott.v35i1.1706
Chicago	Kucukkaya, Metin, Mehmet Tezer, Serkan Uludag, and 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 35, no. 1 (September 2006): 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	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, 2006, doi: 10.3944/aott.v35i1.1706.
ISNAD	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 35/1 (September 2006), 16-20. https://doi.org/10.3944/aott.v35i1.1706.
JAMA	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, 2006, pp. 16-20, doi:10.3944/aott.v35i1.1706.
Vancouver	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.