Operative Treatment of Lateral Humeral Condyle Fractures in Children
European Journal of Pediatric Surgery, 08/09/2012
Wirmer J et al. – The results demonstrate that the employment of Screw–wire osteosynthesis is superior to the use of K–wires concerning the carrying angle while scoring alike on the other criteria. Compared with the use of lag screws, both treatments (K–wire and Screw–wire osteosyntheses) bear less risk of nonvascular necrosis or small metaphyseal fragment rupture, by comparable results in the overall outcome. Regarding the long–term development of healed fractures, changes in the carrying angle and the range of motion are of a small degree. Considering the results of this study, the authors recommend the use of Screw–wire osteosynthesis in the operative treatment of lateral humeral condyle fractures in children.
