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Nonunion of Lateral Humeral Condylar Fracture in A Child with Cubitus Varus

Sulaiman A.R., and Munajat I., and Mohd E.F., and Sharifudin M.A., (2010) Nonunion of Lateral Humeral Condylar Fracture in A Child with Cubitus Varus. Malaysian Orthopaedic Journal, 4 (3). pp. 29-31. ISSN 1985 2533

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Official URL: http://morthoj.org

Affiliations

Universiti Sains Malaysia. School of Medical Sciences. Dept. of Orthopaedics
Universiti Sains Malaysia. School of Medical Sciences. Dept. of Orthopaedics
Universiti Sains Malaysia. School of Medical Sciences. Dept. of Orthopaedics
International Islamic University Malaysia. School of Medical Sciences. Dept. of Orthopaedics

Abstract

Patients with cubitus varus deformity secondary to malunited supracondylar fracture are at risk for lateral humeral condylar (LHC) fracture. This report describes a child presenting with preexisting malunion of supracondylar fracture presenting along with nonunion of a LHC fracture following a recent injury. The patient underwent resection osteotomy of the metaphyseal proximal fragment of the fracture surface, reduction of the displaced LHC fragment and screw fixation. This procedure corrected the cubitus varus and treated the nonunion of the lateral condyle thus avoiding a supracondylar osteotomy procedure. Treatment resulted in solid union, good range of motion and no avascular necrosis.

Item Type:Journal
Keywords:Cubitus Varus, Lateral Condyle, Humerus, Nonunion, Resection Osteotomy
Subjects:R Medicine, Dentistry, Pharmacy, Nursing
ID Code:11361

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4. Shimada K, Masada K, Tada K, Yamamoto T . Osteosynthesis for the Treatment of Non-Union of the Lateral Humeral Condyle in Children. J Bone Joint Surg [Am] 1997; 79(A): 234-40.

5. Loke, W.P., Shukur M.H., Yeap, J.K. Screw osteosynthesis of displaced lateral humeral condyle fractures in children: a mid-term review. Medical Journal of Malaysia 2006; 61(A): 40-4.

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