الفهرس 
ContentOnly 14 pages are availabe for public view
 |  | from | 86 |  |  |
| | | from | 86 | | |
Abstract
Orthopaedic surgeons often use K-wires or screws for fixation of fractures of the lateral condyle.
In this study, we compared screw fixation to k wire fixation and found no statistically significant differences between the two in terms of functional outcome, time to union, or post-operative complications.
Considerations for long-term monitoring and screw removal to evaluate growth outcomes are also important.
SUMMARY
Lateral condyle fractures are the second most common kind of elbow fractures in children. Although anybody may suffer this form of harm, children under the age of 10 are more at risk.
While immobilisation may be sufficient for nondisplaced or minimally displaced fracture patterns, surgical reduction and fixation with Kirschner wires (K-wires) or screws may be necessary for displaced fractures.
Due to the dangers connected with using K-wires, we have looked at screw fixation as an option for lateral condyle fractures (fixation loss with short use, infection with extended use).
In theory, screws would be the most advantageous form of fastener due to their ability to reduce casting time, enhance union rate, and improve resistance to tension loads (possibly leading to an improved range of motion).
This study comprised 20 people who had suffered lateral humeral condyle fractures..
Patients in the first group had surgery using k-wires, whereas those in the second group underwent surgery using cannulated 4 mm screws.
Six months after surgery, patients were followed up with and the following information was gathered:
Age
Fracture type
Affected side
Time of operation
Post operative complications: infection, non union, delayed union, stiffness, deformity
Time for healing
Functional range of motion
The goal of this study was to compare the outcomes of open reduction and internal fixation with k-wires and cannulated screws for children with displaced lateral condyle fractures of the humerus.
Our results show that screw fixation is an effective alternative to k wire fixation, with no significant differences in clinical outcomes, union rates, or postoperative complications.
The need for extended follow-up after screws are removed should be included into any growth assessment.