Advances in Management of Pediatric Capitellum Fractures: A Retrospective study
Jasim Hasan Imarah 1*
Journal of Angiotherapy 8(7) 1-5 https://doi.org/10.25163/angiotherapy.879792
Submitted: 01 June 2024 Revised: 17 July 2024 Published: 21 July 2024
Abstract
Background: Capitellum fractures are rare in the pediatric population, with most documented cases occurring in individuals over 12 years old. These fractures present unique challenges in diagnosis and treatment due to the rarity and complexity of pediatric bone healing. The limited literature on this subject often emphasizes adult treatment protocols, leaving gaps in understanding pediatric cases. This study investigates the outcomes of six children, aged 12 to 16, with displaced capitellum fractures treated with open reduction and internal fixation (ORIF). Methods: Between 2000 and 2020, six pediatric patients with displaced capitellum fractures were treated at AL-Hussain Teaching Hospital. All fractures were classified as type 1 Hahn-Steinthal fractures and were managed using ORIF with screw fixation. Postoperatively, patients were immobilized for three weeks and followed up clinically and radiologically for 20 months to 4 years to assess pain, range of motion, and any complications. Results: All patients achieved solid fracture union with no cases of avascular necrosis, heterotopic ossification, or infection. Following cast removal, patients initially experienced stiffness but ultimately regained full elbow function, with only two patients experiencing minor flexion loss. There were no radiological signs of degenerative changes or deformities. Conclusion: ORIF using screw fixation is effective in managing displaced capitellum fractures in pediatric patients, resulting in solid union and good functional outcomes. Early intervention and careful postoperative management are crucial in minimizing complications. However, the rarity of these injuries underscores the need for further research to establish standardized treatment protocols.
Keywords: Pediatric fractures, capitellum, open reduction, internal fixation, elbow injuries, bone healing, orthopedic surgery
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