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Retrospective Review of Kirschner Wire Fixation and Casting for Displaced Lateral Condylar Fracture of the Humerus in Children

Gooi, S.G, and Chee, E.K., and Wong, C.L., and Mohana, R., and Khoo, E.H., and Thevarajan, K., (2008) Retrospective Review of Kirschner Wire Fixation and Casting for Displaced Lateral Condylar Fracture of the Humerus in Children. Malaysian Orthopaedic Journal, 2 (2). pp. 17-20. ISSN 1985 2533

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Affiliations

Seberang Jaya Hospital, Malaysia, Orhopaedic Dept
Seberang Jaya Hospital, Malaysia, Orhopaedic Dept
Seberang Jaya Hospital, Malaysia. Orhopaedic Dept,
Seberang Jaya Hospital, Malaysia. Orhopaedic Dept,
Seberang Jaya Hospital, Malaysia, Orhopaedic Dept,

Abstract

This study was conducted to assess the optimum period for
Kirschner wire fixation and cast immobilization for displaced lateral condylar fracture of the humerus in children. We retrospectively reviewed 12 patients with displaced lateral condyle humerus fracture, ranging in age
from 3-9 y, with injuries that occurred between Jan 2005 and
Dec 2006. All patients were treated with two Kirschner wire
fixation and elbow immobilization. In all except 2 patients,
the Kirschner wires were maintained for 3 to 4 weeks. Mean
time for union was 3.78 weeks and mean humeroulnar arch motion at last review was 138.7 degrees. Only one patient
had a 5 degree increased carrying angle in valgus as compared to the non-injured side, and 50% had prominent
scars > 4mm. We conclude that fracture union can be expected within three to four weeks for most children after
open reduction and fixation with 2 Kirschner wires.

Item Type:Journal
Keywords:Lateral condyle, humerus, pediatric fracture healing, Kirschner wire fixation
Subjects:R Medicine, Dentistry, Pharmacy, Nursing
ID Code:7194

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