FRACTURE OF THE HUMERAL CONDYLES IN CHILDREN - 49 CASES EVALUATED AFTER 18-45 YEARS

We evaluated 49 children with fracture of the humeral condyles 18-45 y ears after the injury. 20 fractures with a displacement of 2-10 mm wit h no tilting of the osteochondral fragment had been treated without re duction and with good results. 16 fractures with marked displacement a nd tilting of the osteochondral fragment had been treated surgically, with good results. 13 patients had been treated for old, displaced fra ctures both operatively and nonoperatively, with poor results. Nonunio n developed in 4 cases and aseptic necrosis in 6, Arthrosis of the elb ow was found in cases complicated by aseptic necrosis and nonunion or in old fractures when resection of the humeral condyle was done, but i t was never observed in uncomplicated fractures.