Long-term outcome in displaced lateral humeral condyle fractures following internal screw fixation in children

• Verfasst von: Frongia, Giovanni [VerfasserIn]
• Verfasst von: Jánosi, Csaba [VerfasserIn]
• Verfasst von: Mehrabi, Arianeb [VerfasserIn]
• Verfasst von: Schenk, Jens-Peter [VerfasserIn]
• Verfasst von: Günther, Patrick [VerfasserIn]
• Titel: Long-term outcome in displaced lateral humeral condyle fractures following internal screw fixation in children
• Verf.angabe: Giovanni Frongia, Csaba Janosi, Arianeb Mehrabi, Jens-Peter Schenk, Patrick Günther
• E-Jahr: 2016
• Jahr: December 2016
• Umfang: 7 S.
• Fussnoten: Gesehen am 11.09.2017
• Titel Quelle: Enthalten in: Acta orthopaedica belgica
• Ort Quelle: Brussels : Acta Medica Belgica, 1991
• Jahr Quelle: 2016
• Band/Heft Quelle: 82(2016), 4, Seite 889-895
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Children
• Sach-SW: Displacement
• Sach-SW: Follow-up
• Sach-SW: Lateral Condyle Fracture
• Sach-SW: Outcome.
• Sach-SW: Screw fixation
• K10plus-PPN: 1563389118

Abstract

Background : The aim of this study was to investigate the long-term clinical outcome following open reduction and internal screw fixation of displaced lateral condyle fractures (LCFs) of the distal humerus and compare the outcome of primary and secondary LCFs. Methods : The clinical outcome in 31 children (mean age 5.8±2.4 years) operated for primary or secondary LCFs was retrospectively analyzed by standardized clinical examination and compared using the Mayo score, Morger score, and Patients Satisfaction score. Results : The scores did not differ significantly between the primary and secondary displacement groups (Mayo score: 99.3±3.3 vs. 100±0, p=0.852; Morger score: 3.8±0.5 vs. 3.9±0.3, p=0.852; Patients Satisfaction score: 3.7±0.6 vs. 3.9±0.3, p=0.546). Deficits in range of motion and joint axis deviation were minor (< 10°) and no elbow instabilities were observed. Conclusions : Surgical treatment of a secondary displaced LCF with open reduction and internal screw fixation leads to a favorable long-term outcome. The long-term outcome is similar between primary and secondary displaced LCFs.