Extensive study of internal fixation in fractures of lateral humeral condyle

Volume 16 | Issue 2 | April-June 2021 | Page 6-17 | Nitin S. Patil, S. V. Gowtam, Swapnil Chitnavis


Authors: Nitin S. Patil [1], S. V. Gowtam [1], Swapnil Chitnavis [1]

[1] Department of Orthopaedics, Krishna Institute of Medical Sciences, Karad.

Address of Correspondence

Dr. S. V. Gowtam,
Department of Orthopaedics, Krishna Institute of Medical Sciences, Karad.
E-mail: svgoutam70@gmail.com


Abstract

In an extensive study and follow up of 30 years, it is observed that fractures of lateral humeral condyles are relatively common injuries in children in the developing regions of the world. They constitute 16.8% of total fractures of the distal humerus. The present series includes a study of 105 cases of fractures of lateral humeral condyle treated at KIMS, Karad and some other hospitals in the city. Early surgery is advised for established nonunion where the condylar fragment is in good position. Delayed O.R.I.F., while still leaving much to be desired, does result in improvement in stability and function of the elbow. Open reduction and internal fixation of fractures up to 6 weeks after injury, is recommended. Fractures over 6 weeks of duration are best left alone with active physiotherapy as the results become progressively disappointing with delay.
Keywords: Lateral Humerus Fracture, Internal Fixation Of Fracture, Pull Off Theory, Milch Classification, Wadsworth Classification, Stages Of Displacement, Operative Approach.


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How to Cite this article: Patil NS, Gowtam SV, Chitnavis S. Extensive study of internal fixation in fractures of lateral humeral condyle. Journal of Trauma and Orthopaedic SurgeryApril-June 2021;16(2): 6-17.

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