Fractures in Children
Non Union Lateral condyle Fractures
The questions to ask
The patient factors
Know what the patient has come to you for
1. What are the patient’s complains ?
2. What are the parent’s expectations from the treatment?
3.How are the elbow movements and the function of the child?
The surgeon factors
Know what you are operating for
1.Is it that the xray shows the nonunion and you [...]
ACCEPTABILITY CRITERIA FOR REDUCTION IN PAEDIATRIC FRACTURES
Children’s fracture have a great capacity to remodel. Yet a few of them result into malunion and deformity. In fractures of upper humerus in a young child large magnitude of angulations can be accepted where as physeal injury of lower femur involving articular carilage needs nothing short of anatomical reduction. The factors affecting the acceptibiloity cliteria are age, Site of fracture, Involvement of growth plate and articular surface, direction of angulation in line with axis of joint movement, ability of joint nearby to compensate for the malunion etc…
