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Orthopaedic

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Trauma (Pediatrics)

Question
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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

C Skeletal traction

D Open reduction and internal fixation

Ans. D

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.

Trauma (Pediatrics) Flashcard List

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