The most appropriate treatment for a 6-year old boy with a displaced fracture of the lateral humeral condyle is (AIPG 2009)
|A||Closed reduction and application of an above-elbow cast|
|B||A collar and cuff|
|D||Open reduction and internal fixation|
Open reduction and internal fixation
a. Complications of fractures of the lateral condyle of the humerus include malunion, nonunion, avascular necrosis, angular deformity, and neurologic injury.
b. Although a displaced fracture of the lateral condyle may be reduced closed, reduction is very difficult to maintain in a cast.
c. The preferred method of treatment is open reduction and internal fixation with one or two smooth pins.