After a median of 8.6 weeks (range, 5.0-17.1 weeks), implants were removed. Of these, 31 were treated with a combination of screw and Kirschner wire fixation, 13 with a single screw, and in three cases, the fracture was fixed with Kirschner wires only. From Januto December 31, 2006, 85 children with a median age of 6.1 years had lateral condyle fracture of the humerus treated. Routine physiotherapy is normally not required. Implants are removed following consolidation (confirmed by X-ray) after approximately 2-3 months. Subsequently, upper-arm plaster cast for 3-4 weeks postoperatively. Long upper-arm plaster cast until wound healing is achieved. In all cases, suture repair of the periosteum is advisable. In older children (& amp amp amp amp amp gt or = 5 years of age) or in cases requiring compression radial screw fixation is recommended. In smaller children (& amp amp amp amp amp lt 5 years of age) fixation with Kirschner wires. Open reduction of the lateral humeral condyle via a lateral approach to the elbow joint. Incomplete, so-called hanging fractures of the lateral humeral condyle without notable secondary dislocation on follow-up. Relative: complete fractures of the lateral humeral condyle which demonstrate a dislocation & amp amp amp amp amp lt or = 2 mm on follow-up. Absolute: fractures with a complete dislocation or those in which plaster-free control X-ray on day 4 shows a gap of & amp amp amp amp amp gt 2 mm. Müller F, Voithenleitner R, Schuster C et al (2006) Operative treatment of proximal humeral fractures with helix wire.Surgical treatment of lateral humeral condyle fractures with reduction and retention in order to prevent lasting malalignment, pseudarthrosis, and joint instability. J Bone Joint Surg Am 52:1077–1089īrowner, Jupiter, Levine, Trafton (1998) Skeletal Trauma. Neer CS 2nd (1970) Displaced proximal humerus fractures. Laminger K, Traxler H (1999) Osteosynthese proximaler Humerusfrakturen, Unfallchirurg 4:154–164 Hessmann MH, Rommens PM (2001) Osteosynthesis techniques in proximal humeral fractures. Traxler H, Surd R, Laminger KA et al (2001) The treatment of subcapital humerus fracture with dynamic helix wire and the risk of concommitant lesion of the axillary nerve. Rowles DJ, McGrory E (2001) Percutaneous pinning of the proximal part of the humerus: an anatomical study. Resch H, Povacz P, Fröhlich R, Wambacher M (1997) Percutaneous fixation of three- and four-part fractures of the proximal humerus. Wachtl SW, Marti CB, Hoogewoud HM et al (2000) Treatment of proximal humerus fracture using multiple intramedullary nails. Gerber C, Werner CML, Vienne P (2004) Internal fixation of complex fractures of the proximal humerus. Rees J, Hicks J, Ribbans W (1998) Assessment and management of three- and four-part proximal humeral fractures. Lind T, Kroner TK, Jensen J (1989) The epidemiology of fractures of the proximal humerus. Lill H, Josten C (2000) Proximal and distal humeral fractures in the elderly. Außerdem sind Häufigkeit und Relevanz postoperativer Repositionsverluste auf das Langzeitergebnis nach IMC-Implantation zu untersuchen. Zukünftige prospektive Studien müssen das IMC mit anderen semirigiden und rigiden Techniken vergleichen. Der Repositionsverlust war die häufigste Komplikation der IMC-Technik.ĭas IMC ist eine neue semirigide Technik zur Stabilisierung von skHF und scheint zu weniger Komplikationen zu führen als die Verwendung von Stiften oder Helixdraht. Helixdraht (p=0,01) stabilisierte Patienten. IMC-Patienten hatten seltener postoperative Komplikation als mittels Stiften (p<0,001) bzw. Die Häufigkeit und Art postoperativer Komplikationen unterschied sich zwischen den semirigiden Operationstechniken. Die Operationsdauer unterschied sich nicht zwischen den Techniken. Diese retrospektive Studie vergleicht intra- und postoperative Daten von Patienten mit skHF, die mit einer neuen („intramedullary claw“, IMC, n=84) sowie zwei herkömmlichen semirigiden Techniken (Stifte, n=30 Helixdraht, n=19) stabilisiert wurden. Die subkapitale Humerusfraktur (skHF) ist eine häufige Fraktur.
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