Importance of initial fracture crack width in minimally dislocated fractures of humeral lateral condyle in children for evaluation of fracture stability and treatment choice

Rakonjac, Zoran; Brdar, Radivoj

doi:10.2298/sarh0904179r

Srp Arh Celok Lek

2009

DOI: 10.2298/sarh0904179r

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Importance of initial fracture crack width in minimally dislocated fractures of humeral lateral condyle in children for evaluation of fracture stability and treatment choice

Zoran Rakonjac¹,

Radivoj Brdar

Abstract: The initial width of the fracture crack is important for the evaluation of the fracture stability, the evaluation of the risk for the creation of secondary dislocations and for the choice of treatment. The upper limit of the fracture crack width which influenced the selection of the method of treatment was 2.5 mm.

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2021

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The Offspring of Sisyphus: Steady Progress in The Decade Since the "Toe and Flow" JAPMA-JVS Special Issue on Limb Preservation

Armstrong¹,

Conte²,

Rogers³

et al. 2021

Journal of the American Podiatric Medical Association

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Background: Tibia pilon fractures are associated with high complication rates, decreased quality of life, and low patient satisfaction. Although many factors such as reduction quality and soft-tissue coverage have been identified, researchers continue to investigate the factors that affect healing in tibia pilon fractures. Our objective was to investigate the effect of initial fracture crack width and displacement degree on clinical functional results in tibia pilon fractures. Methods: In this retrospective cohort study, 40 patients with Arbeitsgemeinschaft für Osteosynthesefragen and Orthopaedic Trauma Association type 43B and 43C tibia pilon fractures and operated on through the extensile anteromedial approach were analyzed. The demographic data of the patients, injury mechanisms, fracture type, reduction quality, clinical results, and postoperative complications were recorded. To evaluate the objective quantity of initial fracture crack width and displacement, a new parameter was defined: “fracture area.” All measurements were conducted using a feature from the picture archiving and communication system on anteroposterior and lateral radiographs taken separately in standard fashion. Results: With an average follow-up period of 29.2 months (range, 24–40 months), 34 patients (85%) had excellent or good results, whereas only two patients (5%) had poor clinical results. Age, injury mechanism, and reduction quality have a significant relationship with Maryland Foot Score (P < .001, P < .037, and P < .001, respectively). Preoperative fracture area, measured on both the anteroposterior and the lateral views, are significantly related to both Ovadia-Beals Score and Maryland Foot Score (P < .001 for each). Conclusions: Preoperative fracture area measurement has a major effect on healing of tibia pilon fractures. Increased initial fracture area is correlated with poor clinical functional results. High-energy injuries, older age, and poor reduction quality are also related to worse clinical outcomes.

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The Offspring of Sisyphus: Steady Progress in The Decade Since the "Toe and Flow" JAPMA-JVS Special Issue on Limb Preservation

Armstrong¹,

Conte²,

Rogers³

et al. 2021

Journal of the American Podiatric Medical Association

View full text Add to dashboard Cite

show abstract

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Importance of initial fracture crack width in minimally dislocated fractures of humeral lateral condyle in children for evaluation of fracture stability and treatment choice

Cited by 1 publication

References 17 publications

The Offspring of Sisyphus: Steady Progress in The Decade Since the "Toe and Flow" JAPMA-JVS Special Issue on Limb Preservation

The Offspring of Sisyphus: Steady Progress in The Decade Since the "Toe and Flow" JAPMA-JVS Special Issue on Limb Preservation

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