Kirschner Wires Fixation Versus Cannulated Screws Internal Fixation for Displaced Lateral Condyle Humeral Fracture in Children

Sohag University

Status: Not yet enrolling

Conditions: Lateral Condyle Humerus Fracture in Children

Treatments: Procedure: open reduction; Other: Conservative management; Procedure: Closed reduction

Study type: Interventional

Funder types: Other

Identifiers

NCT05409053

soh-Med-22-03-08

Details and patient eligibility

About

Lateral condyle fracture of the distal humerus is the second most common injury around the elbow and accounts for 20% of all the elbow fractures in children.The average age for the fracture involving the lateral condyle is around six years.

There are different treatment options of the lateral condyle fractures include

• non-operative management with plaster cast immobilization for undisplaced or minimally displaced fractures.
• Whereas the fractures displaced >2 mm need operative management. The objective of treatment in the displaced fracture is to obtain and maintain the articular congruity.

In the operative management, the reduction technique includes open or closed methods.

Enrollment: 20 estimated patients

Sex: All

Ages: 2 to 14 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Children up to 14 years.
• closed lateral condylar fracture.
• displacement more than 2mm .
• fracture Less than two weeks of injury.

Exclusion criteria

• Patients with open fractures.
• otherassociated injury in the same elbow .
• elbow with preexisting anatomical deformity .

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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20 participants in 4 patient groups

screw fixation

Active Comparator group

Description:

lateral condyle humerus fracture open reduction and internal fixation by canullated screws

Treatment:

Procedure: open reduction

k wire fixation

Active Comparator group

Description:

lateral condyle humerus fracture open reduction and internal fixation by K wire

Treatment:

Procedure: open reduction

Conservative management

Other group

Description:

Undisplaced fractured treated conservatively by above elbow slab

Treatment:

Other: Conservative management

Closed reduction and percutaneous pinning

Other group

Description:

Undisplaced fractured treated closed reduction and percutaneous pinning

Treatment:

Procedure: Closed reduction