A randomized controlled study of closed reduction percutaneous pinning versus open reduction internal fixation of lateral humeral condyle fractures in children | ||||
| The Egyptian Orthopaedic Journal | ||||
| Articles in Press, Accepted Manuscript, Available Online from 26 May 2025 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/eoj.2025.380690.1039 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Mohamed Salah Labib Mohamed  1; Mohamed M. Abd El- Monem Gafar2
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| 1Orthopedic surgery, Banha teaching hospital | ||||
| 2Orthopedic surgery department, Banha teaching hospital | ||||
| Abstract | ||||
| Lateral condyle fracture (LCF) is the 2nd common fracture around the elbow in children that accompanied with several complications. Open reduction and internal fixation (ORIF) is the gold standard method for management. Few researches declared the role of closed reduction percutaneous pinning (CRPP) in managing LCF. This work aims to compare between both techniques regarding operation time and post-operative complications. Method: The study is a randomized controlled clinical trial implemented on 60 children presented with acute moderately displaced LCFS (Song stage III and IV). They were equally divided into two groups; CRPP and ORIF groups. The mean value (±SD) of age was 6.63 ± 2.48 years in CRPP group and 6.70 ± 2.56 years in ORIF group. Cases were followed up till 6 month after operation. Results: There was a statistical significant shortening of operation time in CRPP group in comparison to ORIF group (P < 0.001). There was no statistical difference between both groups regarding fixation method (K-wires or cannulated screws)(P 0.254). Lateral spur formation was the most common complication after surgery in both groups (56.7% in CRPP group, 66.7 % in ORIF group). There was no statistical significant difference between both groups regarding post-operative complications; lateral spur formation (p- value 0.462), infection (p= 0.671), valgus deformity (p- value 1.000), stiffness (p=0.405), nonunion (p=0.448). Conclusion: CRPP could be a promising option for fixation of moderately displaced (Song stage III& IV) LCFS in children. It provides similar post-operative complications as ORIF with reduction of operation time and decreasing scar formation. | ||||
| Keywords | ||||
| open reduction internal fixation; closed reduction; lateral humeral condyle fractures | ||||
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