Impacts of Fracture Types on Success Rate of Closed Reduction and Percutaneous Pinning in Pediatric Lateral Condyle Humerus Fractures Displaced >4 mm

Conclusions: Milch classification is more important than Song classification in the success rate of CRPP when treating LCHFs displaced>4 mm. Milch type II LCHFs are recommended to be treated with CRPP, while Milch type I LCHFs are recommended to be treated with ORIF. The current study confirm Song’s initial report that closed reduction can be successful and should be attempted for fractures with such displacement rather than going directly to ORIF. Level of Evidence: Level III.
Source: Journal of Pediatric Orthopaedics - Category: Orthopaedics Tags: Trauma Source Type: research