Abstract Issue

Volume 14 Issue 3 (March) 2025

Original Articles

Functional outcome of open reduction and buried k wire fixation in lateral condyle humerus fracture in pediatric patients-1 year follow up
Dipak Parmar, Viraj Banker, Mohit Pabari, Bhargav Galani, Sushil Barkesia, Krunal Khant

Introduction:Lateral condyle humerus fractures in children require accurate diagnosis and treatment. Surgical options include K-wire fixation, with buried wires offering better stability and a lower infection risk compared to unburied wires, ensuring proper healing and reducing complications like nonunion or malunion.Material and Methods:This study evaluates 28 children (ages 4-12) with lateral humeral condyle fractures treated with open reduction and internal fixation between 2021-2022. Clinical outcomes were assessed after one year using Hardacre's criteria and Milch classification.Results: This study included 28 patients (ages 4-12) with lateral humeral condyle fractures who were followed for 1 year. Outcomes showed full range of motion in 25 patients, with minor extension lag in 3. One case had non-union requiring bone grafting and revision, and two cases had pin tract infections. No cases developed avascular necrosis.Conclusion: This study highlights buried K-wire fixation as effective for lateral condyle fractures in children, minimizing infection, improving stability, and preserving blood supply with minimal periosteal stripping to reduce avascular necrosis and non-union risks.

 
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