Surgical Treatment  With Nonunion Of The Lateral Humeral Condyle Of Humerus With Cubitus Valgus In Children  Using Apparat Ilizarov

Ilkhom Khujanazarov; Iskandar Khodjanov

doi:10.12955/emhpj.v1i0.327

Ilkhom Khujanazarov Department of Orthopedic Trauma Surgery for Children of Scientific-Research Institute of Traumatology and Orthopedics, Tashkent
Iskandar Khodjanov Department of Orthopedic Trauma Surgery for Children of Scientific-Research Institute of Traumatology and Orthopedics, Tashkent

DOI: https://doi.org/10.12955/emhpj.v1i0.327

Abstract

Background. Nonunion of the lateral humeral condyle are of the complex pathology of the elbow joint, occurring relatively often and resulting in disability of children.

The treatment of nonunion of the lateral humeral condyle of humerus with cubitus valgus remains controversial. Purpose of this report was improvement of the results of surgical treatment of the nonunion of the lateral humeral condyle of humerus with cubitus valgus of the lateral humeral condyle of humerus with cubitus valgus with use of differential approach to the surgical strategy.

Material and methods. We were observing 28 children (17 boys and 11 girls) with nonunion and long-standing nonunion of lateral condyle of humerus, with various degrees of severity. There were used MRI and X-ray investigations for differential study of the patients divided into 3 groups in relation to stability and non-stability of the nonunion of the lateral humeral condyle of humerus with cubitus valgus of the lateral humeral condyle of humerus with cubitus valgus.

Results. All 28 patients lateral humeral condyle nonunions with cubitus valgus achieved union within sixty five days after operative procedure using Ilisarov’s technique. The mean postoperative humerus-ulna angle was 6,0 degrees of cubitus valgus. All of reverse T-osteothomies healed uneventfully, and there was no loss of correction postoperatively. The mean duration of follow-up was 7 years. The overall results were excellent in 15(53,5%) patients, good in 11(39,3%) patients, and fair in 2(7,2%) patients. All 28 patients lateral humeral condyle nonunions with cubitus valgus achieved union within sixty five days after operative procedure using Ilisarov’s technique. The mean postoperative humerus-ulna angle was 6,0 degrees of cubitus valgus. All of reverse T-osteothomies healed uneventfully, and there was no loss of correction postoperatively. The mean duration of follow-up was 7 years. The overall results were excellent in 15(53,5%) patients, good in 11(39,3%) patients, and fair in 2(7,2%) patients.

References

Wilkins KE, Beaty JH, Chambers HG, Toniolo RM. Fractures and dislocations of the elbow region. In: Rockwood CA Jr, Wilkins KE, Beaty JH, editors. Fractures in children. 4th ed, vol 3. Philadelphia: Lippincott-Raven; 1996.p 653-904.

Schneider G, Pouliquen JC. [Old fractures of the lateral humeral condyle (lateralis capitellum humeri) in children]. Rev Chir Orthop Reparatrice ApparMot. 1992;78:456-63. French.

Shibata M, Yoshizu T, Tajima T. [Long-term results of osteosynthesis for established non-union of lateral humeral condyle in children]. Orthop Surg Traumat. 1992;35:1165-72. Japanese.

Shimada K, Masada K, Tada K, Yamamoto T. Osteosynthesis for the treatment of non-union of the lateral humeral condyle in children. J Bone Joint Surg Am. 1997;79:234-40.

Sergey P. Mironov Treatment of posttraumatic deformation and contractures of elbow joint in children and teenagers. Avtoreferat of dissertation for doctoral scientific degree of Medicine. Moskow, 1984, 37p.

Broberg MA, Morrey BF. Results of delayed excision of the radial head after fracture. J Bone Joint Surg Am. 1986;68:669-74.