Medial Epicondyle Fractures of Humerus in Children at the University Teaching Hospital of Yopougon
Journal Title: Journal of Orthopedics & Bone Disorders - Year 2018, Vol 2, Issue 1
Abstract
The purpose of this study is to evaluate the results of surgical treatment of medial epicondyle fractures in children. Patients and Methods: A retrospective study of 17 children was performed in the Pediatric Surgery Department at the Yopougon Hospital and University Center between January 2004 and December 2014. Children aged 3 to 15 years treated surgically for a fracture of medial epicondyle and had regular postoperative follow-up of more than three months were included. The average age was 11 years old. Fractures were divided according to the Marion and Faysse classification: stage II (n = 5), stage III (n = 3), stage IV (n = 9). We evaluated postoperative complications and sequelae. The evaluation of the functional results was based on the criteria of Hardacre. Results: The functional results were studied with a mean follow-up of 8 months. We found 70% good and very good results, 18% average results and 12% poor results. Postoperative complications were observed n = 3 (17.6%) of the cases. It was an operative wound infection n = 2 (11.7%), iatrogenic nerve damage n = 1 (5.9%). Sequelae were represented n = 3 (17.6%). This was an n = 2 elbow mobility deficit (11.7%) and the epitrochlear n = 1 protrusion (5.9%). Conclusion: Medial epicondyle fracture outcomes are associated with a relatively low rate of complications. It is important to stress the importance of prolonged surveillance because of the functional and morphological sequelae that they may cause.
Authors and Affiliations
Claude MJ*, Baptiste YX, Thierry OK, Atafi D, Bertin K, Ossenou O, Anoma DS and Ruffin D
Keywords
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