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Su HC, Chou SH, Ho HY, Lu CC, Tien YC, Shih CL, Liu ZM, Shen PC, Huang PJ. Management of nonunion of humeral medial condyle fracture: A case series and review of the literature. J Orthop Surg (Hong Kong) 2021; 28:2309499020921755. [PMID: 32406306 DOI: 10.1177/2309499020921755] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Pediatric humeral medial condyle fracture (HMCF) is a rare condition and is difficult to detect, especially in young children. The management of late presentation of HMCF is challenging and lacks consensus. Herein, we reported four cases of HMCF nonunion received open reduction and internal fixation (ORIF) or supracondyle osteotomy from our institution. In addition, 12 cases of ORIF and 4 cases of osteotomy reported in the previous studies were also reviewed. The HMCF nonunion can heal after ORIF, but the indication and the optimal techniques need to be clarified. Supracondylar osteotomy alone is an effective and safe treatment option to improve the functional and cosmetic outcomes of HMCF nonunion.
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Affiliation(s)
- Huang-Chia Su
- Department of Orthopaedics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
| | - Shih-Hsiang Chou
- Department of Orthopaedics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.,Orthopaedic Research Center, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Hsin-Yi Ho
- Department of Orthopaedics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
| | - Cheng-Chang Lu
- Department of Orthopaedics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.,Orthopaedic Research Center, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.,Department of Orthopaedics, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Yin-Chun Tien
- Department of Orthopaedics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
| | - Chia-Lung Shih
- Department of Orthopaedics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
| | - Zi-Miao Liu
- Department of Orthopaedics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
| | - Po-Chih Shen
- Department of Orthopaedics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.,Orthopaedic Research Center, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.,Department of Orthopaedics, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Peng-Ju Huang
- Department of Orthopaedics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
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