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)

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dc.authorid0000-0002-7290-6798en_US
dc.authorid0000-0003-3270-1648en_US
dc.authorid0000-0003-2149-8154en_US
dc.contributor.authorUlus, Sait Anıl
dc.contributor.authorYiğit, Şeyhmus
dc.contributor.authorÖzkul, Emin
dc.date.accessioned2024-04-05T05:54:27Z
dc.date.available2024-04-05T05:54:27Z
dc.date.issued2024en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalıen_US
dc.description.abstractBackground: Lateral condyle fracture of the humerus in children should be diagnosed and treated quickly to avoid the complications of malunion and varus deformity of the elbow. Worldwide, pediatric orthopedic departments experienced delays in patient diagnosis and treatment during the COVID-19 pandemic. This retrospective study from a single center in Turkey aimed to compare outcomes from early treatment, elective treatment, and delayed treatment in 140 children with lateral condyle fracture of the humerus between 2013 and 2021. Material/Methods: In the study, 140 patients with Milch type 2 fractures were included. Patients underwent fixation with K-wires or screws after open or closed reduction. Data collected included age, sex, trauma details, surgery timing, operating conditions, perioperative issues, and rehabilitation outcomes. Fracture union and complications were monitored through clinical examinations and X-rays. Clinical outcomes were evaluated using the Mayo Elbow Performance Score (MEPS). Results: There were 58 patients in the early group, 52 in the elective group, and 30 in the delayed group. Surgery durations varied among the groups (P=0.000). The early and delayed groups as well as the early and elective groups had significantly different incision sizes (P=0.000 for both). The early and delayed groups and the early and elective groups had significantly different MEPS scores (P=0.002 and P=0.011, respectively). Conclusions: In patients with late-presenting lateral condyle fractures, although complications increase, surgical treatment does not yield worse outcomes. Standardization of fracture management should be maintained during periods such as COVID-19.en_US
dc.identifier.citationUlus, S. A., Yiğit, Ş. ve Özkul, E. (2024). 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). Medical Science Monitor : International Medical Journal of Experimental and Clinical Research, 30, 1-9.en_US
dc.identifier.doi10.12659/MSM.942728
dc.identifier.endpage9en_US
dc.identifier.issn1643-3750
dc.identifier.pmid38247165
dc.identifier.scopus2-s2.0-85180269237
dc.identifier.scopusqualityQ1
dc.identifier.startpage1en_US
dc.identifier.urihttps://medscimonit.com/abstract/full/idArt/942728
dc.identifier.urihttps://hdl.handle.net/11468/13847
dc.identifier.volume30en_US
dc.identifier.wosWOS:001182258300001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorUlus, Sait Anıl
dc.institutionauthorYiğit, Şeyhmus
dc.institutionauthorÖzkul, Emin
dc.language.isoenen_US
dc.relation.ispartofMedical Science Monitor : International Medical Journal of Experimental and Clinical Research
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCOVID-19en_US
dc.subjectHumeral fracturesen_US
dc.subjectDelayed diagnosisen_US
dc.titleComparative 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)en_US
dc.titleComparative 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)
dc.typeArticleen_US

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