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

Study Overview
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Brief Summary
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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.

Official Title
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Open Reduction and Kirschner Wires Fixation Versus Cannulated Screws Internal Fixation for Displaced Lateral Condyle Humeral Fracture in Children. Randomized Controlled Trial.

Conditions
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Lateral Condyle Humerus Fracture in Children

Intervention / Treatment
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* Procedure: open reduction
* Procedure: Closed reduction
* Other: Conservative management


Participation Criteria
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Eligibility Criteria
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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 .

Ages Eligible for Study
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Minimum Age: 2 Years
Maximum Age: 14 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: screw fixation<br>lateral condyle humerus fracture open reduction and internal fixation by canullated screws | Procedure: open reduction<br>* the displaced fractures will be treated with open reduction so as to achieve the near anatomical alignment<br>|
| Active Comparator: k wire fixation<br>lateral condyle humerus fracture open reduction and internal fixation by K wire | Procedure: open reduction<br>* the displaced fractures will be treated with open reduction so as to achieve the near anatomical alignment<br>|
| Other: Conservative management<br>Undisplaced fractured treated conservatively by above elbow slab | Other: Conservative management<br>* the non displaced fractures will be treated with closed reduction and castor slab<br>|
| Other: Closed reduction and percutaneous pinning<br>Undisplaced fractured treated closed reduction and percutaneous pinning | Procedure: Closed reduction<br>* the non displaced fractures will be treated with closed reduction and percutaneous pinning<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Time of union | Follow up radiographs will be requested at immediate postoperative 2, 4, 6, 12 and 24 weeks postoperative to assess healing | 6 Months |