Abstract
OUTCOME OF LATERAL CONDYLE HUMERUS FRACTURE IN CHILDREN TREATED WITH OPEN REDUCTION AND K-WIRE FIXATION

*Dr. Asad Ullah Mehmood, Dr. Israr Ahmad, Dr. Sikandar Riaz Cheema and Dr. Hafiz Usman Jameel

ABSTRACT

Background: Lateral condyle humerus fractures in are the second most common fracture after supracondylar fracture in children. It is often ignored, mismanaged and presents late to tertiary care centers. The objective of this study was to evaluate functional outcome of lateral condyle humerus fracture treated with ORIF with K-wire. Patients and method: It is a prospective study performed at Orthopaedics department of Nishtar Medical University and hospital, Multan. The study was conducted in duration of 2 years from 2015 to 2017. We admitted 45 patients, presented upto 1-12 weeks injury of lateral condyle humerus fracture. Fracture were classified according to Milch Classification. Clinical outcomes were assessed through Hardacre criteria. Results: We enrolled 45 patients in total. Out of which, 40 patients completed treatment and follow up. The mean age of patient in our study was 6.5 years. Twelve (30%) patients presented within 3 weeks of fracture, 17 (42.5%) within 3-5 weeks, 8 (20%) within 6-8 weeks, and 3 (7.5%) within 9-12 weeks. There was no major complication like neurovascular damage or post-op infection observed. Mean removal time of K-wire was 5.2 weeks. Thirty two patients (80%) reported excellent outcome, 6 (15%) good outcome, and remaining 2 (5%) ended with poor outcome. Conclusion: We concluded that ORIF with K-wire fixation overall has excellent outcome in patients with displaced lateral condyle fracture of humerus presenting within 12 weeks of injury in term of union rate and no complication.

Keywords: ORIF, open reduction, K-wire, Outcome, Union.


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