Functional Outcome of Open Reduction and K-wire Fixation for Neglected Fractures of Lateral Condyle of Humerus in Children

Abstract

Aim: To evaluate the functional outcome of open reduction and K-wire fixation for neglected fractures of lateral condyle of humerus in children in terms of achievement of union and range of motion at elbow joint. Study Design: Descriptive case series study. Place and Date of Study: Department of Orthopedic Surgery, GMMMC Hospital, Sukkur over a period of 18 months from 1st April 2015 to 30th September 2016 Methods: This study included 34 pediatric patients, who presented three or more weeks after the initial injury, with displaced Jacob type II and III, closed fractures of lateral condyle of humerus of either sex between ages of 2 to 12 years. Results: There were 27 males and 7 females. Average follow-up was 6 months. Three patients lost follow-up. No mortality was observed. Satisfactory range of motion (functional range of motion lacking less than 15° of complete extension) was observed in 17 (54.9%) patients while 14 (45.1%) patients had non-satisfactory range of motion at elbow. Conclusion: Fracture of lateral epicondyle humerus is a fracture of necessity, early diagnosis and appropriate treatment is vital for management of these fractures to avoid complications. However if patient presents late, majority can still be benefitted by surgical intervention rather than leaving unattended.