Osteosynthesis for longstanding nonunion of the lateral humeral condyle in adults

Arthroscopic Debridement of the Humeral Capitellum for Osteochondritis Dissecans: Radiographic and Clinical Outcomes

“…Radial head enlargement also occurs in patients with longstanding nonunion after a lateral condyle fracture in childhood. 10,11 Therefore, radial head enlargement might have resulted from the absent capitellar articular surface in patients with remaining growth potential of the radial head.…”

Osteosynthesis In Situ for Lateral Condyle Nonunion in Children

“…9,[11][12][13] Some authors insisted a concept of "Functional reduction," which mobilizes the fragment on a soft tissue pedicle preserving the vascular supply and fixates the fragment not in the anatomic origin but in the position that yields the great range of motion, which seems to be an ideal option, in that it could provide bony union with little risk of osteonecrosis, little loss of elbow motion, and better cosmetics. 4,6,8,14 However, it also carries soft tissue dissection to inevitably accompany the risk of osteonecrosis and it is doubtful whether repositioning of the fracture fragment could improve the range of elbow motion and limb alignment at the same time.…”

In vivo 3-dimensional Kinematics of Cubitus Valgus after Non-united Lateral Humeral Condyle Fracture

“…The author insisted that most cases of Milch Type-I injury are symptomatic and surgery should be considered. Miyake et al 21) reported 10 patients who were treated with osteosynthesis; eight patients of Milch Type-II injury achieved osseus union, while 2 patients of Milch Type-I injury showed nonunion or delayed union. In 9 of 10 cases, the total arc of motion was reduced by an average of 20°.…”