A randomized controlled trial comparing outcomes of k wire removal at 4 weeks vs. 6 weeks of lateral condyle fractures of humerus in children
Journal Title: Medpulse International Journal of Orthopedics - Year 2017, Vol 3, Issue 3
Abstract
Background and Objectives: Lateral condyle humerus fractures are the most common distal humeral fractures in children. They are associated with higher rate of complications and the results of non-operative management are associated with high rate of later displacement. So a randomised controlled trial comparing outcomes of K-wire removal at four weeks vs. six weeks of lateral condyle fractures of humerus in children was done. Methods: All patients aged one to fourteen years with traumatic fractures of the lateral condyle fracture of humerus presenting to the Department of Orthopaedics, IGIMS giving written consent for the trial were included in the study and randomised in two groups. Fractures more than seven days old were excluded. Cases taken were randomised according to random excel number generation. After open reduction and internal fixation the k-wire removed at four weeks in one group and at six weeks in another group. The clinico-radiological outcomes were evaluated for infection and radiological union. Collected data were evaluated and various statistical tests applied. P-value of less than 0.05 was taken as significant. Results: We found no statistically significant difference in comparison of union or infection with different age groups (p<0.05). Three patients developed skin infection, one in group A and two in group B. All patients did show radiological union at the expected time of k-wire removal two in group A one in group B. Conclusion: Our study has shown that fracture of lateral condyle of humerus united earlier than 6 weeks and shows no significant difference in short term outcome of K-wire and back slab removal at 4 weeks or at 6 weeks regarding union and infection.
Authors and Affiliations
Rishabh Kumar, Santosh Kumar, Nishant Kashyap, Anand Shankar
Keywords
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