Fracture of the humeral condyles in children:49 cases evaluated after 18—45 years

Ippolito, Ernesto; Tudisco, Cosimo; Farsetti, Pasquale; Caterini, Roberto

doi:10.3109/17453679608994666

Cited by 48 publications

(27 citation statements)

References 30 publications

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“…Both the growth plate and articular surface should be anatomically aligned. A missed or inadequately treated LCM fracture can lead to nonunion, malunion, recurrent dislocation, abnormalities in the carrying angle, prominence of the lateral humeral condyle, progressive cubitus valgus deformity, and tardy ulnar palsy [8][9][10]12].…”

Section: Discussionmentioning

confidence: 99%

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Outcome of lateral humeral condylar mass fractures in children associated with elbow dislocation or olecranon fracture

Sharma

Sibiński

Sherlock

2007

International Orthopaedics (SICOT)

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Section: Discussionmentioning

confidence: 99%

“…Lateral condylar mass (LCM) fractures of the distal humerus comprise 17% of distal humeral fractures and are the second most common injury around the elbow in the paediatric population, after supracondylar fractures [8,9]. Most LCM fractures occur as an isolated injury.…”

Section: Introductionmentioning

confidence: 99%

Outcome of lateral humeral condylar mass fractures in children associated with elbow dislocation or olecranon fracture

Sharma

Sibiński

Sherlock

2007

International Orthopaedics (SICOT)

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“…1,4,6 Blood flow may be easily disturbed if the soft tissue at the posterior of condyle is stripped off during the open surgery for exposure or reduction. 5,7 This may lead to nonunion or avascular necrosis. Infection is also anticipated as in all open surgical techniques.…”

Section: Introductionmentioning

confidence: 99%

Open reduction and percutaneous pinning for medial condyle fractures of elbow in children: is it a risk for complications?

Demiroğlu

Kiliç

Unay³

et al. 2016

Int J Res Orthop

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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.

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“…[9][10][11][12][13][14][15][16][17][18][19][20][21] Stahl and Schwartz 22 reported 15.2%, Botte et al 23 found 18%, and Stern and Fulton 24 reported 42% complication rates with K-wiring procedure, but these were confined to the hand and wrist region and related to adult patients. There are no studies specifically examining the complication rate associated with use of Kwires in fracture fixation in children regardless of their specific anatomical location.…”

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confidence: 99%

A Review of K-wire Related Complications in the Emergency Management of Paediatric Upper Extremity Trauma

Sharma

Taylor

Clarke

2007

annals

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INTRODUCTION Kirschner wires (K-wires) are immensely versatile in fracture fixation in the paediatric population. Complications associated with the K-wiring procedure vary from minor to a life-threatening. The aim of this study was to analyse the outcome of fracture fixation using K-wires in all types of upper-extremity fractures in children in order to assess the incidence and type of complication critically.PATIENTS AND METHODS Between September 1999 and September 2001, we retrospectively reviewed a consecutive series of 105 fractures in 103 paediatric trauma cases (below 12 years) treated with K-wires in a university teaching hospital. The case notes and radiographs were reviewed by an independent single assessor. All paediatric, acute, upper-extremity, displaced and unstable fractures were included. All elective procedures using K-wires were excluded. RESULTS We observed an overall 32.3% complication rate associated with the K-wiring procedure affecting 34 pins (24 patients). Wound-related complications included over-granulation in 13 cases, pin tract infection in 6 cases and hypersensitive scar in 1 case. Neurapraxia was found in 3 patients and axonotmesis in 1 patient. Wire loosening at the time of removal in 14 cases and retrograde wire migration in 4 cases were observed. There were 2 cases of penetrating tendonitis and 1 case of osteomyelitis. There was a higher complication rate in terms of wire loosening and pin tract infection when the K-wires: (i) were left outside the skin compared with those placed under the skin; (ii) stayed longer in the patients; and (iii) did not traverse both cortices. There were more complications in complex operations performed by senior surgeons (P = 0.056). The duration of K-wire stay, associated co-morbidity and anatomical location were statistically insignificant.CONCLUSIONS Complications are part of operative procedures; an important point to consider is what causes them in order to take preventative measures. We recommend that the risks and complications should be explained to parents during the consenting process to allay their anxiety, irrespective of the fact that most complications are minor and of short duration.

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Fracture of the humeral condyles in children:49 cases evaluated after 18—45 years

Cited by 48 publications

References 30 publications

Outcome of lateral humeral condylar mass fractures in children associated with elbow dislocation or olecranon fracture

Outcome of lateral humeral condylar mass fractures in children associated with elbow dislocation or olecranon fracture

Open reduction and percutaneous pinning for medial condyle fractures of elbow in children: is it a risk for complications?

A Review of K-wire Related Complications in the Emergency Management of Paediatric Upper Extremity Trauma

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