Mohammad Badsha Miah1, Md. Monowar Tarik2, Mirza Osman Beg3, S.M. Shahnewaj4,
Mohammad Akram Alai5, Mohammad Abdul Hannan6
1. Assistant Professor, Department of Orthopedic Surgery, Sheikh Sayera Khatun Medical College, Gopalganj.
2. Assistant Professor, Department of Orthopedic Surgery, Rajshahi Medical College, Rajshahi.
3. Associate Professor, Department of Orthopedic Surgery, North East Medical College, Sylhet
4. Senior Consultant, Department of Orthopedic Surgery, Sadar Hospital, Bagerhat
5. Medical Officer, 100 Beded Sadar Hospital, Shariatpur.
6. Junior Consultant, Department of Orthopedic Surgery, Gowainghat Health Complex, Sylhet.
Abstract
Lateral condyle fracture is one of the commonest injuries encountered in pediatric age group. There are a number of options during surgical management of these fractures; Kirschner-wire (K-wire) is the most commonly used implant for fixation. This prospective observational study was conducted in 100 Bedded Sadar Hospital, Shariatpur and SSKMC & 250 Bedded General Hospital, Gopalgonj from July 2019 to December 2021 over a period of 30 months. A total of 30 patients with fracture of lateral condylar of humerus were enrolled in this study. They were treated with open reduction and internal fixation with K-wires and evaluated radiologically and clinically after 6 months of the surgery. In this study, mean age of the patients was 7.1 ± 1.5 years ranged from 3 to 10 years. Boys were predominant than girls. Boy to girl ratio was 2.75:1.Most common mode of injury was fall while playing at ground at 23 (76.7%) followed by fall from height at 7 (23.3%). fractures were mostly in Milch II (80.0%) and Milch I (20.0%). Affected side of fracture was right limb (30.0%) and left limb (70.0%). Mean time to fracture union as evidenced by X-ray was 4.81 ± 0.49 weeks and mean time of k-wire removal was 5.48 ± 0.58 weeks. According to the criteria of Hardacre, 23 cases (76.7%) had excellent and 7 cases (23.3%) had good outcome. So, open reduction and internal fixation with k-wire is an excellent method of fixing lateral condyle fractures in children with excellent radiological and functional results.
Key Words: Open reduction and internal fixation (ORIF), K-wire, lateral condyle fractures of humerus.