Open Reduction and Kirschner Wires Fixation Versus Cannulated Screws Internal Fixation for Displaced Lateral Condyle Humeral Fracture in Children. Randomized Controlled Trial.
试验速览
- 阶段
- 不适用
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- Time of union
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 2 Years 至 14 Years(Child)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Children up to 14 years.
- •closed lateral condylar fracture.
- •displacement more than 2mm .
- •fracture Less than two weeks of injury.
排除标准
- •Patients with open fractures.
- •otherassociated injury in the same elbow .
- •elbow with preexisting anatomical deformity .
研究组 & 干预措施
screw fixation
lateral condyle humerus fracture open reduction and internal fixation by canullated screws
干预措施: open reduction (Procedure)
k wire fixation
lateral condyle humerus fracture open reduction and internal fixation by K wire
干预措施: open reduction (Procedure)
Conservative management
Undisplaced fractured treated conservatively by above elbow slab
干预措施: Conservative management (Other)
Closed reduction and percutaneous pinning
Undisplaced fractured treated closed reduction and percutaneous pinning
干预措施: Closed reduction (Procedure)
结局指标
主要结局
Time of union
时间窗: 6 Months
Follow up radiographs will be requested at immediate postoperative 2, 4, 6, 12 and 24 weeks postoperative to assess healing
次要结局
未报告次要终点
研究者
Bassam Abdelrahim Abdelbasset
resident doctor at orthopaedic department sohag university hospital
Sohag University
