title: Shaft-Condylar Angle for surgical correction in neglected and displaced lateral humeral condyle fracture in children.
abstract: OBJECTIVE
  To assess the outcome after using the Shaft-Condylar angle (SCA) as intraoperative reference for sagittal plane correction in displaced lateral humeral condyle fractures in children presented 3-weeks after injury.
  
  
  METHODS
  Ten children, with delayed presentation of a displaced lateral humeral condyle fracture and undergoing surgery during 1999-2011, were reviewed. The goal was to obtain a smooth articular surface with an intraoperative SCA of nearly 40° and nearest-anatomical carrying angle. They were allocated into two groups according to the postoperative SCA [Good-reduction group (SCA=30-50°), and Bad-reduction group (SCA<30°, >50°)] and the final outcomes were then compared.
  
  
  RESULTS
  All fractures united without avascular necrosis. The Good-reduction group (n=7) showed a significant improvement in final range of motion and functional outcome compared to the Bad-reduction group (n=3) (p=0.02). However, there was no significant difference in pain, carrying angle and overall outcome between both groups.
  
  
  CONCLUSIONS
  SCA is a possible intraoperative reference for sagittal alignment correction in late presented displaced lateral humeral condyle fractures.
authors.forename: Pornchai
authors.initials: P
authors.lastname: Mulpruek
authors.forename: Chanika
authors.initials: C
authors.lastname: Angsanuntsukh
authors.forename: Patarawan
authors.initials: P
authors.lastname: Woratanarat
authors.forename: Paphon
authors.initials: P
authors.lastname: Sa-Ngasoongsong
authors.forename: Tulyapruek
authors.initials: T
authors.lastname: Tawonsawatruk
authors.forename: Pongsthorn
authors.initials: P
authors.lastname: Chanplakorn
mesh_terms: D002648:Child; D002675:Child, Preschool; D004551:Elbow Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D004838:Epiphyses / Q000293:injuries*; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D017759:Fractures, Malunited / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging / Q000601:surgery; D007223:Infant; D008297:Male; D010027:Osteotomy / Q000379:methods*; D011859:Radiography; D012189:Retrospective Studies