Outcome of Displaced Lateral Condyle Humerus Fractures in Children’s Treated with K-wire Fixation

Abstract

Objective: To assess the outcome of lateral condyle of humerus fractures stabilized with K-wire fixation.

Methods: This prospective study was conducted in department of orthopaedics at Chandka Medical College Hospital, Shaheed Mohtarma Benazir Bhutto Medical University Larkana from March 2011 to February 2013 in two Years period. We managed 30 children with lateral condyle humerus fractures Milch type III according radiographic criteria and stabilized by open reduction with K.wire fixation.

Results: Total Thirty children were evaluated, from which twenty were boys (6.66%) and ten were girls (3.33%). The mean age was 7.5 years. 26(6.66%) were of right dominant elbow; rest was the left dominant (3.3%). Operation time was 45 minutes, no minor and major complications of anesthesia and surgery appeared regarding the criteria was observed. Clinical results in 26(86.66%) were excellent, good in 03(10.0%) and poor in 01(0.33%) patient according to Hardcare criteria.

Conclusion: We concluded that displaced lateral condyle fractures with open reduction and fixation with k-wires hence early fixation is much more correct and responsive method to get the union and to prevent from complications