Kirschner Wires Fixation Versus Cannulated Screws Internal Fixation for Displaced Lateral Condyle Humeral Fracture in Children

Open Reduction and Kirschner Wires Fixation Versus Cannulated Screws Internal Fixation for Displaced Lateral Condyle Humeral Fracture in Children. Randomized Controlled Trial.

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

• non-operative management with plaster cast immobilization for undisplaced or minimally displaced fractures.
• Whereas the fractures displaced >2 mm need operative management. The objective of treatment in the displaced fracture is to obtain and maintain the articular congruity.

In the operative management, the reduction technique includes open or closed methods.

Inclusion Criteria:

• Children up to 14 years.
• closed lateral condylar fracture.
• displacement more than 2mm .
• fracture Less than two weeks of injury.

Exclusion Criteria:

• Patients with open fractures.
• otherassociated injury in the same elbow .
• elbow with preexisting anatomical deformity .