Tauseef Ahmad Baluch, GhulamQadir, Muhammad Iqbal, SumbalArif, M. Khalid Syed, ShahzadAzharNadeem
Pakistan Journal of Medical & Health Sciences




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Outcome of Jakob type 3 Lateral Condyle Fracture treatment in Children through Campbell approach

Tauseef Ahmad Baluch, GhulamQadir, Muhammad Iqbal, SumbalArif, M. Khalid Syed, ShahzadAzharNadeem



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ABSTRACT

 

Aim: To determine the union and functional outcome of lateral condyle humerus fracture in children by Campbell approach.

Methods: This study was conducted in OMC Hospital Lahore between 1-1-18 to 1-6-18.Meanage of the patients was 6.68 (range; 2-13) years including 11(66.66%) male and 5(33.33%) female. Patients were operated through Campbell posterior approach and fixed with smooth 2k-wire added by the back slab. Plaster break at the elbow after 4 weeks and active movements started with plaster. Plaster removed after 6 weeks and k-wires were removed within 6-8 week. All patients were followed on 2nd, 4th, 6th and at 12th week. At last follow up the patients were assessed for the union and functional out come through MEPScriteria

Results: Fractures were united in a mean time of 4.73 weeks with a range of 4-7 weeks. Outcomes were excellent in 5(33.33%) patients, good in 8(53.33%) and fair in 2(13.33%). Nomajor complication was noted.

Conclusion: By using proper surgical approach Open reduction and internal stabilization with k-wire is an excellent method of fixing lateral condyle fractures in children even fractures were displaced (Jackeb type 3) with excellent radiological and functional results

.Keywords:  Jackeb type III, Campbell approach, Lateral condyle, k-wire fixation, open reduction, range of motion 



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