A review of the data brought out in the study of this series of condylar fractures warrants the following conclusions:
1. Serious disability and disturbance of function in the elbow following fractures of the condyles of the humerus in children is much more frequent than is appreciated by the average surgeon treating fractures.
2. Closed reductions are at best uncertain and are frequently impossible when there is displacement of the fragment.
3. Accurate reduction and the maintenance of close apposition of the fractured surfaces are necessary to prevent non-union or malunion, with subsequent epiphyseal disturbances resulting in deformity and impairment of function.
4. Delayed open reductions restore the position of the fragments and achieve bony union, but are almost uniformly followed by epiphyseal disturbance, producing permanent impairment of function.
5. Immediate open reduction, using some type of dependable internal fixation, preferably a wire nail, is the treatment of choice and will give the highest percentage of satisfactory results.
(C) 1933 All Rights Reserved.The Journal of Bone and Joint Surgery, Inc.