Shaft-Condylar Angle for surgical correction in neglected and displaced lateral humeral condyle fracture in children / Pornchai MULPRUEK in Acta Orthopaedica Belgica, Vol. 81/3 (Septembre 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.384-391 Titre : Shaft-Condylar Angle for surgical correction in neglected and displaced lateral humeral condyle fracture in children Type de document : texte imprimé Auteurs : Pornchai MULPRUEK, Auteur ; Chanika ANGSANUNTSUKH, Auteur ; Patarawan WORATANARAT, Auteur Année de publication : 2015 Article en page(s) : p.384-391 Langues : Anglais (eng) Mots-clés : lateral condylar fracture  fracture distal humerus in children  shaft-condylar angle  neglected fracture  displaced fracture. Résumé : Purpose: To assess the outcome after using the ShaftCondylar angle (SCA) as intraoperative reference for sagittal plane correction in displaced lateral humeral condyle fractures in children presented 3-weeks after injury. Methods: Ten children, with delayed presentation of a displaced lateral humeral condyle fracture and undergoing surgery during 1999-2011, were reviewed. The goal was to obtain a smooth articular surface with an intraoperative SCA of nearly 40° and nearestanatomical carrying angle. They were allocated into two groups according to the postoperative SCA [Good-reduction group (SCA = 30-50°), and Badreduction group (SCA < 30°, > 50°)] and the final outcomes were then compared. Results: All fractures united without avascular necrosis. The Good-reduction group (n = 7) showed a significant improvement in final range of motion and functional outcome compared to the Bad-reduction group (n = 3) (p = 0.02). However, there was no significant difference in pain, carrying angle and overall outcome between both groups. Conclusion: SCA is a possible intraoperative reference for sagittal alignment correction in late presented displaced lateral humeral condyle fractures. Permalink : ./index.php?lvl=notice_display&id=40905 [article] Shaft-Condylar Angle for surgical correction in neglected and displaced lateral humeral condyle fracture in children [texte imprimé] / Pornchai MULPRUEK, Auteur ; Chanika ANGSANUNTSUKH, Auteur ; Patarawan WORATANARAT, Auteur . - 2015 . - p.384-391. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.384-391 Mots-clés : lateral condylar fracture  fracture distal humerus in children  shaft-condylar angle  neglected fracture  displaced fracture. Résumé : Purpose: To assess the outcome after using the ShaftCondylar angle (SCA) as intraoperative reference for sagittal plane correction in displaced lateral humeral condyle fractures in children presented 3-weeks after injury. Methods: Ten children, with delayed presentation of a displaced lateral humeral condyle fracture and undergoing surgery during 1999-2011, were reviewed. The goal was to obtain a smooth articular surface with an intraoperative SCA of nearly 40° and nearestanatomical carrying angle. They were allocated into two groups according to the postoperative SCA [Good-reduction group (SCA = 30-50°), and Badreduction group (SCA < 30°, > 50°)] and the final outcomes were then compared. Results: All fractures united without avascular necrosis. The Good-reduction group (n = 7) showed a significant improvement in final range of motion and functional outcome compared to the Bad-reduction group (n = 3) (p = 0.02). However, there was no significant difference in pain, carrying angle and overall outcome between both groups. Conclusion: SCA is a possible intraoperative reference for sagittal alignment correction in late presented displaced lateral humeral condyle fractures. Permalink : ./index.php?lvl=notice_display&id=40905

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