Acta Orthop Scand. 1988 Aug; 59(4): 419-24.
Delayed management of fracture of the lateral humeral condyle in children.
Department of Orthopedics, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Thirty-nine displaced fractures of the lateral humeral condyle in children were followed for an average of 5 (2-5) years. The results were evaluated from functional and cosmetic aspects. Patients treated within 2 weeks by open reduction and internal fixation did well. Those operated on after 6 weeks did not do better than nonoperated on cases. Complications included cubitus varus and valgus deformities, osteonecrosis, nonunion and malunion, and loss of motion. We recommend that patients presenting late be left alone and any sequelae evaluated at a late stage.