T-Condylar Fractures of the Distal Humeral Condyles During Childhood: An Analysis of Six Cases

Paediatric T-condylar fractures of the humerus: Clinical experience and outcomes in 19 cases

“…According to literature, surgical repositioning is the method of choice in the treatment of such severe fractures, given its excellent visibility and the possibility of achieving an almost ideal reconstruction of the elbow surfaces. However, its disadvantages, such as greater stiffness of the elbow joint, present the practitioner with a dilemma on whether this type of treatment is the best option in each particular case [5,6].…”

“…Most of the experiences are based on isolated cases or small series [6,10]. The generally accepted treatment method is surgical reposition through a Type I 3 3 0 0 Type II 4 3 1 0 Type III 12 4 7 1 posterior approach, followed by an internal fixation with plates and screws [5,6,11]. Authors giving preference to a surgical treatment point out the stability of the fracture and the possibility for early mobilisation of the elbow joint, preventing elbow stiffness, as its advantages [5,11].…”

“…Because of the rarity of this injury, treatment recommendations cannot be based on multiple case experiences and there is no standard recommended treatment. Most of the experiences are based on isolated cases or small series [6,10]. The generally accepted treatment method is surgical reposition through a Type I 3 3 0 0 Type II 4 3 1 0 Type III 12 4 7 1 posterior approach, followed by an internal fixation with plates and screws [5,6,11].…”

“…Despite the small number of reported clinical series, it is widely accepted that this fracture should be treated by open reduction and internal fixation to reduce and stabilise the displaced intraarticular fragments. However, this can cause further iatrogenic injury of the surrounding soft tissue and may lead to postoperative stiffness [5,6]. In young children, a closed reduction with percutaneous pinning could be a good method since their thicker periosteum and elasticity of articular cartilage makes displacement of fracture fragments less likely and offers good possibilities for closed treatment.…”

Adolescent Distal Humerus Fractures: ORIF Versus CRPP

“…Owing to the rarity of these injuries in adolescents, there is very little data in the literature to support specific treatment strategies. [7][8][9][10][11][12][13] The treatment options proposed in the existing literature vary, depending upon the degree of fracture displacement, intra-articular extension, and the amount of fracture comminution. The dilemma for the surgeon is whether to treat this transitional age group as children or adults.…”