Journal Title: پاییز 91
Article title: Evaluation of the Results of the Surgical Treatment of the Lateral Humeral Condyle Fractures in Children: Evaluation of 26 Cases

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Article abstract:
Introduction & Objective: Fractures of the lateral humeral condyle are the most frequent elbow fracture in children after supracondylar features and in cases of displacements, open reduction and internal fixation is the standard treatment in displaced fractures. The purpose of this study was to evaluate the results of the surgical treatment of lateral humeral condyle fracture in children in our institute. Materials & Methods: In this cross-sectional study, 26 patients, between 2-14 years old, who had lateral humeral condyle fracture and were operatively treated during April 2004 to May 2007, were enrolled. Demographic data, fracture type, surgical technique, time interval between trauma and surgery and presence of any complication were collected. At the final follow up, patients were evaluated for elbow range of motion, limb alignment and deformity. Radiographs were evaluated for the quality of union and any deformity. Chi2 and fisher tests were used for statistical analysis. Results: All of the reviewed cases suffered from Milch type II fracture. Surgical treatment in 46% was performed within 24 hours and in 54 % after 24 hours. There was no significant relationship between the time of surgery and outcomes and complications (P=0.085). Limited range of motion and deformity was present in 15.4% and 7.7% of cases respectively. There was no mal-union or nonunion. Lateral spur formation was found in 11.5% of patients in the last radiograph. Conclusions: Open reduction and internal fixation is a safe and effective treatment method for lateral humeral condyle fracture with displacement and true anatomic reduction and fixation is the most important factor in the treatment outcome. Time interval between trauma and surgery had no correlation with clinical results and complications.
Article KeyWords:
Condyle Fracture, Surgery, Children
Article Authors:

	دکتر محمود جبل عاملی	First Author
	دکتر حسینعلی هادی	Other Author	com.yahoo@hadi_hosseinali
	ندا طوفانی نژاد	Other Author
	دکتر مهـران رادی	Other Author