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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)
[article]
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
in Acta Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.384-391[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 Exemplaires (1)
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