18 patients with avulsions of the medial epicondyle 1 10/12 to 16 2/12 years after trauma are presented. Non-union occurs very often after conservative treatment involving avulsion with or without displacement. Although non-union of the medial epicondyle gives no or only little disability, the fixation with one or two Kirschner wires is recommended to avoid non-union.
View Article and Find Full Text PDFBasing on a follow-up study of 31 fractures of the condylus radialis humeri in childhood, the authors present suggestions for surgical and conservative therapy. Despite the fact that fractures of the condylus radialis are epiphyseal fractures of the Salter III and IV types, conservative treatment is advocated provided the fracture is not or only slightly dislocated and can be reset to produce closure. Kirschner wiring can be employed to prevent possible recurrence of dislocation if such a tendency is suspected.
View Article and Find Full Text PDFThe question of separation of the epiphyses in infants and small children of the type Salter-Harris affecting the distal humerus is discussed. The indications for open reduction of the distal humerus epiphyseal separation is rarely indicated and should only be utilised when there is associated injury to the nerves of vessels or a total disruption of the chondyle. Provided that accurate re-position and fixation can be performed, the prognosis of this injury is satisfactory.
View Article and Find Full Text PDF15 children who were treated surgically for necrotizing entero-colitis (N.E.C.
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