Outcome of surgically treated displaced medial epicondyle fracture of humerus in children: A prospective study
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Background: The aim of this study was to evaluate the functional outcome of surgically treated displaced medial epicondyle fracture of humerus in children using kirschner wire. Methods: A prospective longitudinal study was undertaken in our hospital during the period of December 2010-December 2014. A total number of 34 patients with the diagnosis of displaced medial epicondyle fracture were included in the study. Ten children had elbow dislocation and three children had ulnar nerve injury. All the cases were treated by two parallel or divergent K-wires. All patients were operated under general anaesthesia. The mean follow-up period was 14 months (range 12 to 16 months). Results were analyzed using the Mayo elbow performance score. Results: All children achieved union in a mean time of 3 weeks (range from 2.5 - 6 weeks). The mean Mayo elbow performance score was 93.5. Late surgery was associated with a score of 80 in two patients and 75 in one patient; the remaining patients had an excellent result (100 points). Full range of elbow motion was achieved in all the patients however, following late surgery; two patients had extension and flexion losses of 5° and 10°, respectively. None of the patients had instability postoperatively. Full ulnar nerve recovery seen at final follow-up. Conclusion: Anatomical reduction either close or open and percutaneous kirschner wires fixation affords a significantly higher union rate, a significantly higher functional outcome score and a significantly better range of movement of the elbow joint.
Authors and Affiliations
Sahu RL, Dr. Nadeem Ahmad
Keywords
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- EP ID EP498259
- DOI 10.22271/ortho.2017.v3.i3e.53
- Views 80
- Downloads 0
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