ISSN: 2577-297X
Authors: Claude MJ*, Baptiste YX, Thierry OK, Atafi D, Bertin K, Ossenou O, Anoma DS and Ruffin D
The purpose of this study is to evaluate the results of surgical treatment of medial epicondyle fractures in children. Patients and Methods: A retrospective study of 17 children was performed in the Pediatric Surgery Department at the Yopougon Hospital and University Center between January 2004 and December 2014. Children aged 3 to 15 years treated surgically for a fracture of medial epicondyle and had regular postoperative follow-up of more than three months were included. The average age was 11 years old. Fractures were divided according to the Marion and Faysse classification: stage II (n = 5), stage III (n = 3), stage IV (n = 9). We evaluated postoperative complications and sequelae. The evaluation of the functional results was based on the criteria of Hardacre. Results: The functional results were studied with a mean follow-up of 8 months. We found 70% good and very good results, 18% average results and 12% poor results. Postoperative complications were observed n = 3 (17.6%) of the cases. It was an operative wound infection n = 2 (11.7%), iatrogenic nerve damage n = 1 (5.9%). Sequelae were represented n = 3 (17.6%). This was an n = 2 elbow mobility deficit (11.7%) and the epitrochlear n = 1 protrusion (5.9%). Conclusion: Medial epicondyle fracture outcomes are associated with a relatively low rate of complications. It is important to stress the importance of prolonged surveillance because of the functional and morphological sequelae that they may cause.
Keywords:
Fracture; Medial epicondyle; Child; Surgical treatment
