Treatment of Medial Epicondyle Fracture without Associated Elbow Dislocation in Older Children and Adolescents
Yonsei Medical Journal
; : 1190-1196, 2012.
Article
in En
| WPRIM
| ID: wpr-183494
Responsible library:
WPRO
ABSTRACT
PURPOSE:
Displaced medial humeral epicondyle fractures with or without elbow dislocation have been treated with open reduction and fixation using K-wires or screws. The purpose of this study is to evaluate the clinical and radiological outcomes of surgical treatments of medial humeral epicondyle fracture without elbow dislocation according to the fixation methods. MATERIALS ANDMETHODS:
Thirty-one patients who had undergone open reduction and fixation of the displaced medial humeral epicondyle fracture without elbow dislocation were included. Group I consisted of 21 patients who underwent fixation with K-wires, and Group II comprised 10 patients who underwent fixation with cannulated screws. Immediate postoperative, final follow-up and normal anteroposterior radiographs were compared and the clinical outcome was assessed using the final Japanese Orthopaedic Association (JOA) elbow assessment score.RESULTS:
On the immediate postoperative radiographs, the distal humeral width in Group II was larger than that in Group I. On the final follow-up radiographs, the epicondylar position in Group I was lower than that in Group II. There was no significant difference in the distal humeral width, epicondylar position and joint space tilt between the immediate postoperative, final follow-up radiographs and the normal side within each group. There was no significant difference in the final JOA score between groups.CONCLUSION:
Open reduction followed by K-wire fixation or screw fixation of the displaced medial humeral epicondyle fracture without elbow dislocation in older children and adolescents resulted in improved radiologic outcome and good elbow function in spite of diverse radiologic deformities.Key words
Full text:
1
Database:
WPRIM
Main subject:
Bone Screws
/
Bone Wires
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Joint Dislocations
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Elbow Joint
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Humeral Fractures
Limits:
Adolescent
/
Child
/
Female
/
Humans
/
Male
Language:
En
Journal:
Yonsei Medical Journal
Year:
2012
Document type:
Article