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

Not Applicable

• Conditions: Lateral Condyle Humerus Fracture in Children
• Interventions: Procedure: open reduction; Other: Conservative management; Procedure: Closed reduction

• Registration Number: NCT05409053
• Lead Sponsor: Sohag University

Brief Summary

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.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2022-03-16
• Status Verified: 2022-06
• Study Start: 2022-06
• Study First Submitted QC: 2022-06-02
• Last Update Submitted: 2022-06-02
• Study First Posted: 2022-06-08
• Last Update Posted: 2022-06-08
• Primary Completion: 2023-06
• Study Completion: 2023-11

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 20

Inclusion Criteria

• Children up to 14 years.
• closed lateral condylar fracture.
• displacement more than 2mm .
• fracture Less than two weeks of injury.

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Exclusion Criteria

• Patients with open fractures.
• otherassociated injury in the same elbow .
• elbow with preexisting anatomical deformity .

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
screw fixation	open reduction	lateral condyle humerus fracture open reduction and internal fixation by canullated screws
Conservative management	Conservative management	Undisplaced fractured treated conservatively by above elbow slab
k wire fixation	open reduction	lateral condyle humerus fracture open reduction and internal fixation by K wire
Closed reduction and percutaneous pinning	Closed reduction	Undisplaced fractured treated closed reduction and percutaneous pinning

Primary Outcome Measures

Name	Time	Method
Time of union	6 Months	Follow up radiographs will be requested at immediate postoperative 2, 4, 6, 12 and 24 weeks postoperative to assess healing

Trial Locations

Locations (1)

Sohag University Hospital; 🇪🇬 Sohag, Egypt