30-179
Pseudoartrosis del cóndilo humeral en niños
Pseudoarthrosis of the lateral humeral condyle in children
E. FERNÁNDEZ, D. SALA, T. JOLÍN y J. GASCÓ Servicio de Traumatología y Cirugía Ortopédica. Hospital Clínico Universitario de Valencia. Departamento de Cirugía. Facultad de Medicina. Universidad de Valencia.
Recepción:
06/11/2008
Aceptación:
06/11/2008
Publicación:
06/11/2008
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Resumen (ES)
Pseudoarthrosis of the lateral humeral condyle is a complication occurring in
14% of the fractures in children despite an adequate initial management. The present study
ilustrates two cases of such a condition after a Milch type I and type II fractures in two girls 12
and 7 year-old respectively. Internal fixation of the pseudoarthrosis was done in bowth cases.
The type I fractures was treated by fixation with two maleollar screws and bone grafting, while
type II fracture was managed by resection of the interposed fibrous tissue and screw fixation.
Consolidation was achieved at three and 10 months respectively. There were no adverse effects
observed in the physeal growth. In conclusion, in minimaly displaced complete fractures, percutaneous
fixation would be the treatment of choice. Internal fixation with compression screws
would be advised when pseudoarthrosis is stablished.
14% of the fractures in children despite an adequate initial management. The present study
ilustrates two cases of such a condition after a Milch type I and type II fractures in two girls 12
and 7 year-old respectively. Internal fixation of the pseudoarthrosis was done in bowth cases.
The type I fractures was treated by fixation with two maleollar screws and bone grafting, while
type II fracture was managed by resection of the interposed fibrous tissue and screw fixation.
Consolidation was achieved at three and 10 months respectively. There were no adverse effects
observed in the physeal growth. In conclusion, in minimaly displaced complete fractures, percutaneous
fixation would be the treatment of choice. Internal fixation with compression screws
would be advised when pseudoarthrosis is stablished.
Palabras clave (ES):
Epifisaria
Epífisis
Fractura
Pediátrica
Pediátrico
Codo
Húmero
Distal
Infancia
Resumen (EN)
Pseudoarthrosis of the lateral humeral condyle is a complication occurring in
14% of the fractures in children despite an adequate initial management. The present study
ilustrates two cases of such a condition after a Milch type I and type II fractures in two girls 12
and 7 year-old respectively. Internal fixation of the pseudoarthrosis was done in bowth cases.
The type I fractures was treated by fixation with two maleollar screws and bone grafting, while
type II fracture was managed by resection of the interposed fibrous tissue and screw fixation.
Consolidation was achieved at three and 10 months respectively. There were no adverse effects
observed in the physeal growth. In conclusion, in minimaly displaced complete fractures, percutaneous
fixation would be the treatment of choice. Internal fixation with compression screws
would be advised when pseudoarthrosis is stablished.
14% of the fractures in children despite an adequate initial management. The present study
ilustrates two cases of such a condition after a Milch type I and type II fractures in two girls 12
and 7 year-old respectively. Internal fixation of the pseudoarthrosis was done in bowth cases.
The type I fractures was treated by fixation with two maleollar screws and bone grafting, while
type II fracture was managed by resection of the interposed fibrous tissue and screw fixation.
Consolidation was achieved at three and 10 months respectively. There were no adverse effects
observed in the physeal growth. In conclusion, in minimaly displaced complete fractures, percutaneous
fixation would be the treatment of choice. Internal fixation with compression screws
would be advised when pseudoarthrosis is stablished.
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