[Results of the treatment of avulsion fractures of the medial epicondyle of the humerus during the growth period].
An account is given in this paper of long-term results obtained from surgical treatment of strain or avulsion fractures of the epicondylus medialis humeri of patients in growth age. Follow-up checks were made on 46 of 59 patients. Anatomic reposition of fragments was clearly superior to percutaneous reposition and fixation of dislocated epicondylus, as postoperative results obtained from the latter approach were more often morphologically unsatisfactory. Reposition with fragments in accurate positions relative to each other was more conducive to complete ossification, whereas pseudoarthrosis was the result of reposition with fragments in inadequate positions. Both functional and individually perceived long-term results in the wake of curing in proper anatomic position were better than those following pseudoarthrosis. Therapeutic nihilism or deliberate acceptance of pseudoarthrotic healing, therefore, cannot be justified in treatment of avulsion fractures of the epicondylus medialis humeri.
D000293:Adolescent; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal; D006801:Humans; D006810:Humeral Fractures / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D011542:Pseudarthrosis / Q000209:etiology; D014945:Wound Healing; D000092464:Elbow Injuries
Behandlungsergebnisse bei Abrissfrakturen des Epicondylus medialis humeri im Wachstumsalter.