Kirschner Wires Fixation Versus Cannulated Screws Internal Fixation for Displaced Lateral Condyle Humeral Fracture in Children
NCT ID: NCT05409053
Last Updated: 2022-06-08
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
20 participants
INTERVENTIONAL
2022-06-30
2023-11-30
Brief Summary
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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.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
OTHER
NONE
Study Groups
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screw fixation
lateral condyle humerus fracture open reduction and internal fixation by canullated screws
open reduction
the displaced fractures will be treated with open reduction so as to achieve the near anatomical alignment
k wire fixation
lateral condyle humerus fracture open reduction and internal fixation by K wire
open reduction
the displaced fractures will be treated with open reduction so as to achieve the near anatomical alignment
Conservative management
Undisplaced fractured treated conservatively by above elbow slab
Conservative management
the non displaced fractures will be treated with closed reduction and castor slab
Closed reduction and percutaneous pinning
Undisplaced fractured treated closed reduction and percutaneous pinning
Closed reduction
the non displaced fractures will be treated with closed reduction and percutaneous pinning
Interventions
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open reduction
the displaced fractures will be treated with open reduction so as to achieve the near anatomical alignment
Closed reduction
the non displaced fractures will be treated with closed reduction and percutaneous pinning
Conservative management
the non displaced fractures will be treated with closed reduction and castor slab
Eligibility Criteria
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Inclusion Criteria
* closed lateral condylar fracture.
* displacement more than 2mm .
* fracture Less than two weeks of injury.
Exclusion Criteria
* otherassociated injury in the same elbow .
* elbow with preexisting anatomical deformity .
2 Years
14 Years
ALL
No
Sponsors
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Sohag University
OTHER
Responsible Party
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Bassam Abdelrahim Abdelbasset
resident doctor at orthopaedic department sohag university hospital
Locations
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Sohag University Hospital
Sohag, , Egypt
Countries
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Central Contacts
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El-shazly s mousa, professor
Role: CONTACT
Facility Contacts
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Osama R ElSherif, professor
Role: primary
References
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Franks D, Shatrov J, Symes M, Little DG, Cheng TL. Cannulated screw versus Kirschner-wire fixation for Milch II lateral condyle fractures in a paediatric sawbone model: a biomechanical comparison. J Child Orthop. 2018 Feb 1;12(1):29-35. doi: 10.1302/1863-2548.12.170090.
Justus C, Haruno LS, Riordan MK, Wilsford L, Smith T, Antekeier S, McKay SD. Closed and Open Reduction of Displaced Pediatric Lateral Condyle Humeral Fractures, a Study of Short-Term Complications and Postoperative Protocols. Iowa Orthop J. 2017;37:163-169.
Cardona JI, Riddle E, Kumar SJ. Displaced fractures of the lateral humeral condyle: criteria for implant removal. J Pediatr Orthop. 2002 Mar-Apr;22(2):194-7.
Baharuddin M, Sharaf I. Screw osteosynthesis in the treatment of fracture lateral humeral condyle in children. Med J Malaysia. 2001 Dec;56 Suppl D:45-7.
Other Identifiers
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soh-Med-22-03-08
Identifier Type: -
Identifier Source: org_study_id
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