Comparative Outcomes of Early, Elective, and Delayed Treatment for Lateral Condyle Fracture of the Humerus in Children: A Retrospective Study from a Single Center in Turkey (2013-2021)

22 January 2024: Clinical Research

Comparative Outcomes of Early, Elective, and Delayed Treatment for Lateral Condyle Fracture of the Humerus in Children: A Retrospective Study from a Single Center in Turkey (2013–2021)

Sait Anıl Ulus ^ABCEF* , Şeyhmus Yiğit ^ACDF , Emin Özkul ^ACEF

DOI: 10.12659/MSM.942728

Med Sci Monit 2024; 30:e942728

Table 1 Patient demographics and perioperative parameters.

	Early	Elective	Delayed	P value
Age, mean (range)	5.1 (2–13)	4.7 (2–13)	5.1 (2–7)	P=0.868^a
Sex (female/male)	16/42	20/32	12/18	P=0.608^b
Side (right/left)	26/32	24/28	14/16
Time from injury to surgery (h)^*	8 (5–12)	23.5 (17.75–27)	528 (504–648)	P=0.000^a
Time from hospital to surgery (h)^*	6 (3–11)	16.5 (13–18)	24 (17–27)	P=0.000^a
Operative procedure (ORIF/CRPP)	50/8	48/4	30/0
Surgical duration, mean±(min)	72.4±21	79.2±20.9	103±28.3	P=0.000^c
			Early vs elective	P=0.825^d
			Early vs delayed	P=0.000^d
			Elective vs delayed	P=0.006^d
Incision length, mean±(cm)	3.88±0.83	4.12±0.53	5.04±0.64	P=0.000^c
			Early vs elective	P=0.656^e
			Early vs delayed	P=0.000^e
			Elective vs delayed	P=0.000^e
Length of stay at, mean±(day)	1.62±0.72	2.46±0.9	2.66±0.69
Complications
Lateral prominence	4	4	4
Pin tract infection	2	4	2
Fishtail deformity	2		4
Avascular necrosis	2		4
Malunion/nonunion	−/−	0/2	2/0
Cubitus valgus	–	2	–
^* Median (IQR); ^a Kruskal-Wallis; ^b Chi-square; ^c One-way ANOVA between 3 groups; ^d Bonferroni; ^e test. ORIF – open reduction internal fixation; CRPP – closed reduction percutaneous pinning.