ORIGINAL RESEARCH article
Front. Pediatr.
Sec. Pediatric Orthopedics
This article is part of the Research TopicFractures and Deformities of the Extremities in Children and Adolescents: Etiology, Diagnosis, and Treatment: 2025View all 20 articles
Open Reduction versus Closed Reduction Percutaneous Pinning for the Treatment of Song Type V Lateral Humeral Condyle Fractures in Children. A short term report
Provisionally accepted
- 1Children's Hospital of Fudan University at Xiamen, Xiamen, China
- 2Children's Hospital of Fudan University, Shanghai, China
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Objective: To evaluate the efficacy of closed reduction percutaneous pinning (CRPP) in the treatment of Song V lateral humeral condyle fractures in children. Methods: Medical records of pediatric patients who underwent surgical treatment for lateral humeral condyle fractures at our institution from July 2018 to August 2024 were retrospectively reviewed. Inclusion criteria: 1. Age ≤14 years; 2. Time from injury to surgery ≤3 days; 3. Song V lateral humeral condyle fracture. Exclusion criteria: 1. Open fracture or concomitant fractures; 2. Associated neurovascular injury; 3. Pathological fracture or concomitant metabolic diseases; 4. Incomplete clinical or radiological data; 5. History of previous surgery on the ipsilateral elbow. Patients meeting the criteria were divided into two groups based on surgical approach: open reduction (n=43) and closed reduction (n=46). Gender, age, affected side, intraoperative blood loss, and operative duration were recorded. Elbow function was assessed using the Mayo Elbow Performance Score (MEPS) at the one-year postoperative follow-up. Overgrowth of the lateral condyle was evaluated on anteroposterior radiographs by the presence of a prominent lateral spur; overgrowth was defined as a final interepicondylar width (IEW) / initial IEW ratio >1.1. Results: The mean age in the closed reduction group was 4.87 ± 1.55 years, compared to 4.53 ± 1.57 years in the open reduction group, showing no statistically significant difference (t=1.0126, p=0.314). There were also no significant differences between the two groups in
Keywords: Lateral humeral condyle fracture, Closed reduction, Open reduction, efficacy, Elbow function
Received: 08 Sep 2025; Accepted: 26 Nov 2025.
Copyright: © 2025 Fang, Mo, Wang, Tan and Peng. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Yueqiang Mo
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