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Lateral condyle fracture of the distal humerus is the second most common injury around the elbow and accounts for 20% of all the elbow fractures in children.The average age for the fracture involving the lateral condyle is around six years.
There are different treatment options of the lateral condyle fractures include
In the operative management, the reduction technique includes open or closed methods.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| screw fixation | Active Comparator | lateral condyle humerus fracture open reduction and internal fixation by canullated screws |
|
| k wire fixation | Active Comparator | lateral condyle humerus fracture open reduction and internal fixation by K wire |
|
| Conservative management | Other | Undisplaced fractured treated conservatively by above elbow slab |
|
| Closed reduction and percutaneous pinning | Other | Undisplaced fractured treated closed reduction and percutaneous pinning |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| open reduction | Procedure | the displaced fractures will be treated with open reduction so as to achieve the near anatomical alignment |
|
| Measure | Description | Time Frame |
|---|---|---|
| Time of union | Follow up radiographs will be requested at immediate postoperative 2, 4, 6, 12 and 24 weeks postoperative to assess healing | 6 Months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| bassam A abdalraheem, resident | Contact | 01099392948 | bssam011067@med.sohag.edu.eg | |
| El-shazly s mousa, professor | Contact |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sohag University Hospital | Sohag | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29456751 | Background | Franks D, Shatrov J, Symes M, Little DG, Cheng TL. Cannulated screw versus Kirschner-wire fixation for Milch II lateral condyle fractures in a paediatric sawbone model: a biomechanical comparison. J Child Orthop. 2018 Feb 1;12(1):29-35. doi: 10.1302/1863-2548.12.170090. | |
| 28852352 | Background | Justus C, Haruno LS, Riordan MK, Wilsford L, Smith T, Antekeier S, McKay SD. Closed and Open Reduction of Displaced Pediatric Lateral Condyle Humeral Fractures, a Study of Short-Term Complications and Postoperative Protocols. Iowa Orthop J. 2017;37:163-169. |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Jun 8, 2023 | |
| Reset | Feb 9, 2024 |
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| Closed reduction | Procedure | the non displaced fractures will be treated with closed reduction and percutaneous pinning |
|
| Conservative management | Other | the non displaced fractures will be treated with closed reduction and castor slab |
|
| 11856929 | Background | Cardona JI, Riddle E, Kumar SJ. Displaced fractures of the lateral humeral condyle: criteria for implant removal. J Pediatr Orthop. 2002 Mar-Apr;22(2):194-7. |
| 14569766 | Background | Baharuddin M, Sharaf I. Screw osteosynthesis in the treatment of fracture lateral humeral condyle in children. Med J Malaysia. 2001 Dec;56 Suppl D:45-7. |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Jun 8, 2023 | Feb 9, 2024 |
| ID | Term |
|---|---|
| D000070799 | Open Fracture Reduction |
| D000070628 | Closed Fracture Reduction |
| D000072700 | Conservative Treatment |
| ID | Term |
|---|---|
| D005592 | Fracture Fixation |
| D019637 | Orthopedic Procedures |
| D013812 | Therapeutics |
| D013514 | Surgical Procedures, Operative |
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