Bhatnagar Nishit, Sharma Sneha, Lingaiah Purushotham, Jaikumar Kameshwaran, Tiwari Anurag
Department of Orthopaedics, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India.
Department of Orthopaedics, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.
J Orthop Case Rep. 2018 Mar-Apr;8(2):65-68. doi: 10.13107/jocr.2250-0685.1054.
Fractures of the medial condyle of elbow in children are rare. Diagnosis is frequently missed and many authors reported poor outcome for these fractures when treatment was delayed.
Here, we present a case of 3-month-old ununited fracture of the medial condyle in an 8-year-old child, treated by osteosynthesis that produced good result. The patient presented to us with valgus instability of elbow and restricted range of motion. Open reduction, freshening of margins, and fixation of the ununited fragment with K-wires were done. Postoperatively, the patient regained functional range of motion and had a stable elbow.
Open reduction and pinning of ununited fracture medial condyle can restore good range of motion and restore elbow stability.
儿童肘部内侧髁骨折较为罕见。诊断常常被漏诊，许多作者报告称，这些骨折若治疗延迟，预后不佳。
在此，我们呈现一例8岁儿童3个月大的肘部内侧髁未愈合骨折病例，通过骨固定术治疗取得了良好效果。该患者因肘部外翻不稳定和活动范围受限前来就诊。进行了切开复位、清理骨折边缘以及用克氏针固定未愈合骨折块的操作。术后，患者恢复了功能活动范围，肘部稳定。
切开复位并用克氏针固定未愈合的内侧髁骨折可恢复良好的活动范围并恢复肘部稳定性。
