title: Posterolateral approach for humeral lateral condyle fractures in children.
abstract: We proposed a simple posterolateral approach to the articular surface of the trochlea for fresh and late fractures of the humeral lateral condyle. Twenty consecutive cases, 16 fresh and four old fractures, were approached between triceps and anconeus before the age of 15 years. All fractures achieved union in 3 months. Nineteen cases were classified as excellent or good by the Hardacre score after 31.3 months of follow-up. One late fracture with elbow subluxation showed radiographic fragmentation of the capitellum and a fair clinical result. This simple optional approach offers good exposure of intra-articular fracture at the trochlea, especially for late fractures.
authors.affiliation: Department of Orthopaedics, Bone and Joint Research Center, Chang Gung Memorial Hospital and College of Medicine, Chang Gung University, Taoyuan, Taiwan.
authors.forename: Chang-Heng
authors.initials: CH
authors.lastname: Liu
authors.forename: Hsuan-Kai
authors.initials: HK
authors.lastname: Kao
authors.forename: Wei-Chun
authors.initials: WC
authors.lastname: Lee
authors.forename: Wen-E
authors.initials: WE
authors.lastname: Yang
authors.forename: Chia-Hsieh
authors.initials: CH
authors.lastname: Chang
mesh_terms: D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D017102:Fracture Healing; D006801:Humans; D006810:Humeral Fractures / Q000601:surgery*; D007223:Infant; D008297:Male; D016059:Range of Motion, Articular; D012189:Retrospective Studies