[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.
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[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.
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