Journal of Musculoskeletal Trauma

Original Articles

Surgical Treatment for the Non-union of the Lateral Humeral Condyle Fracture using Closing Wedge Osteotomy and Bone Graft: Sang Ho Ha, Hong Moon Sohn, Jun Young Lee, Sun Jong Oh; J Korean Soc Fract 2003;16(3):379-384. Published online July 31, 2003; DOI: https://doi.org/10.12671/jksf.2003.16.3.379

PURPOSE
To evaluate the clinical results of the surgical treatment for established nonunion of lateral humeral condyle fracture using closing wedge osteotomy and bone graft.
MATERIALS AND METHODS
Six patients diagnosed as symptomatic established nonunion of lateral humeral condyle fracture and cubitus valgus deformity were reviewed retrospectively. The average age was 23 years old and mean follow up period was 32 months. We investigate the changes of the symptoms and radiographic findings, and determine the results by Oppenheim's criteria.
RESULTS
According to Oppenheim's criteria, 3 patients showed excellent, 2 good, 1 poor. Carrying angle is improved to 10.2 degrees and range of motion was decreased by mean 9 degrees. All of the patients' muscle weakness and pain were improved, and was achieved solid union at the last follow up.
CONCLUSION
In the treatment of symptomatic established lateral humeral fracture and cubitus valgus deformity, better functional and cosmetic results are anticipated by a closing wedge osteotomy and bone graft.

Citations

Citations to this article as recorded by

In SituLate Metaphyseal Osteosynthesis for the Fractures of the Lateral Humeral Condyle in Children
Kun Bo Park, Seung Whan Lee, Hyun Woo Kim, Hui Wan Park, Ki Seok Lee
Journal of the Korean Fracture Society.2008; 21(2): 151. CrossRef

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Supracondylar Closing Wedge Osteotomy for Posttraumatic Angular Deformity of Distal Humerus: Methods for Reducing Secondary Deformity: Sung Soo Kim, Sung Keun Sohn, Chul Hong Kim; J Korean Soc Fract 1996;9(3):706-714. Published online July 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.3.706

Abstract PDF: The angular deformity of distal humerus is one of the most frequent complication of supracondylar fracture in growing children. The deformity rarely limits function, but corrected by patients request due to cosmetic problem. Many orthopedic surgeons have suggested various operation methods but with high incidence of complications related to these operations, also we often experience secondary deformity after inaccurate osteotomy. Therefore to identify desirable operative method to reduce secondary deformity, a retrospective study of 17 patients operated with angular deformity following distal humerus fracture was carried out in which replanning with isosceles triangle method was done in all cases. The following results were obtained. 1. The complications were two cases of metal failure and one of non union. 2. The basic requirement of closing wedge osteotomy without secondary deformity was that:the center line of isosceles triangle whose apex angle should be identical to the deformity angle and be placed on the concave apex of deformity, should overlap the transverse bisector of hurnerusforearm axes. In inevitable cases, the disparity should be minimized to alleviate secondary deformity. 3. The translation was calculated by the equation of T=Dxsin Î±(T:translation, D:proximal or distal migration of the point of contact of humerus-forearm axes, Î±:angle of the deformity). In conclusion, we think that the deformity may be corrected safely and easily using minute preoperative planning with application of above principle.

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