20. Outcomes of Open Reduction and K-Wire Fixation of Lateral Humeral Condyle Fractures in Children Through Modified Anterolateral Henry Approach to the Elbow
Zulfiqar Ahmed1, Muhammad Imran Haider1, Muhammad Iqbal Buzdar2, Azhar Rashid2, Muhammad Ishfaq2 and Ghulam Qadir Khan2
ABSTRACT
Objective: To determine the outcomes of open reduction and K-wire fixation for displaced lateral humeral condyle fracture in children through modified anterolateral Henry approach to elbow.
Study Design: Prospective/observational study.
Place and Duration of Study: This study was conducted at the Department of Orthopedics, Quaid-e-Azam Medical College/BV Hospital/ Civil Hospital, B/pur and NMU/Nishtar Hospital, Multan from August 2017 to Jan. 2020.
Methodology: Twenty eight children of both genders with neglected humeral condyle fractures were enrolled in this study. Patients’ age range was from 3 to 12 years. Patient's demographics including age, sex and cause of fractures were recorded. All patients underwent open reduction and K-wire fixation through modified anterolateral Henryapproach to the elbow. Functional outcomes were examined at follow-up.
Results: Twenty two (78.57%) were males while 5 (21.43%) were females. Falling was the commonest cause of fracture found in 15 (53.57%) patients. All the patients achieved satisfactory range of motion. 20 (71.43%) patients showed excellent, 4 (14.29%) showed good, 3 (10.71%) showed fair and 1 (3.57%) showed poor outcomes. 01 (3.57%) patient developed avascular necrosis of the fractured lateral condylar fragment, 01 (3.57%) patient had premature closure of physis and pin tract infection found in 2 (7.14%) patients.
Conclusion: Open reduction and K-wire fixation through anterior (Henry) approach is safe and effective surgical modality for lateral humeral condyle fractures especially in children especially in old neglected cases.
Key Words: Lateral humeral condyle fracture, Open reduction, Anterolateral (modified Henry) elbow approach, K-wire, Range of motion, Union, Complications
Citation of article: Ahmed Z, Haider MI, Buzdar MI, Rashid A, Ishfaq M, Khan GQ. Outcomes of Open Reduction and K-Wire Fixation of Lateral Humeral Condyle Fractures in Children Through Modified Anterolateral Henry Approach to the Elbow. Med Forum 2020;31(7):84-87.