Neglected Fracture Lateral Condyle of Humerus Surgical Treatment and the Result: A Case Report after 18 Months Follow Up

Introduction: Neglected humeral lateral condylar fracture in children is a surgical dilemma and debatable. Displaced lateral condyle humeral fractures are usually treated surgically to avoid nonunion, malunion, growth abnormalities, and eventual arthritis. In children, the late appearance of humeral lateral condylar fracture presents a surgical problem. Lateral condylar fractures account for between 10% and 20% of fractures involving the elbow in children. Those displaced by >2 mm are generally thought to require operative treatment. There is currently no agreement about the ideal treatment method of undisplaced fractures concerning open or closed reduction, the use of Kirschner wires (K-wires), or fixation with a screw. Presentation of Case: A 6-year-old boy with a neglected fracture lateral condyle of humerus experienced pain and swelling in his right elbow after a fall when playing. He referred to our hospital and got elbow reconstruction, showed an excellent recovery on eighteen months follow-up. Discussion: Neglected fracture lateral condyle of humerus after fixation with good functional elbow motion, measurement of Baumann's angle and carrying angle, then with mild varus, but whether it significantly correlated or not, it still could not be concluded. A quick diagnosis with prompt treatment makes a better outcome. Displaced fractures of the lateral condyle of the humerus are frequently managed surgically to avoid nonunion, malunion, disturbances of growth, and later arthritis. Conclusion: There is a better outcome after elbow reconstruction in late presenting the lateral condyle of humerus fracture. Meanwhile, additional issues are strongly associated or not require further investigation