Kirschner wire fixation for fractures of the radial condyle in children and adolescents

被引:0
作者
Fernandez, F. F. [1 ]
Eberhardt, O. [1 ]
von Kalle, T. [2 ]
Endele, S. [1 ]
Wirth, T. [1 ]
机构
[1] Klinikum Stuttgart, Olgahosp, Orthopad Klin, Bismarckstr 8, D-70176 Stuttgart, Germany
[2] Klinikum Stuttgart, Olgahosp, Radiol Klin, Stuttgart, Germany
来源
OBERE EXTREMITAET-SCHULTER-ELLENBOGEN-HAND-UPPER EXTREMITY-SHOULDER ELBOW HAND | 2009年 / 4卷 / 01期
关键词
Lateral humeral condyle fractures; Humerus; Ellbow; Children; Kirschner wire fixation;
D O I
10.1007/s11678-009-0015-y
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Question. Aim of the study was the evaluation of the results of an operative treatment of dislocated lateral humeral condyle fractures in children and adolescents. Patients. Over a period of 4 years 58 children with lateral humeral condyle fractures were treated operatively by a Kirschner wire (K-wire) osteosynthesis. The patients were recorded prospectively and clinical follow-up examinations were done. Results. A total of 36 boys and 22 girls with an average age of 6.4 (range 2-15) years were included in the study with 46 isolated lateral humeral condyle fractures. In 12 cases additional injuries included 4 elbow luxations, 4 fractures of the olecranon, 2 distal forearm fractures and 2 children suffered from multiple injuries. Only closed fractures were identified of which 14 were reduced percutaneously and fixed with two K-wires and in 44 cases an open reduction with K-wire fixation was necessary. All children were provided with casts for a period of 4-6 weeks and the K-wire was removed 10-12 weeks after the operation. The average duration of the hospital stay was 2.9 (range 1-25) days. At the time of metal removal all fractures were completely consolidated. No pseudarthrosis occurred but complications included dislocation of K-wires (n = 3) and bursitis (n = 5). A fishtail deformity could be shown radio-graphically in 5 children. Follow-up examinations could be carried out in 53 children for an average time of 13 months (range 4-58). Of the patients 47 showed free functions, in 5 patients there was a lack of extension between 5 and 10 degrees and in 1 patient of 15 degrees. One child had a varus deformity of about 5 degrees and another child of about 10 degrees. Of the parents 49 were very content and 4 parents were content with the course of treatment and the results. Conclusion. The K-wire osteosynthesis of lateral humeral condyle fractures is an efficient and safe treatment with low complication rates and good results.
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页码:26 / 32
页数:7
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