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Immobilization in a long arm cast for 3 weeks
4%
39/879
Immobilization in a long arm cast for 8 weeks
2%
20/879
Open reduction and immobilization in a long-arm cast for 3 weeks
3%
26/879
Open reduction and internal fixation with smooth pins or cannulated screw
88%
774/879
Open reduction and internal fixation with plate and screw construct
1%
7/879
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The patient has a displaced lateral condyle fracture; therefore, simple immobilization for 3 to 8 weeks is likely to result in malunion or nonunion. Closed reduction of such injuries is rarely successful. The fracture is unstable, so fixation is required after open reduction. Because the fixation must cross the physis, smooth pins are indicated for the skeletally immature elbow. Open reduction with fixation has been shown to reduce the risk of delayed union and malunion.
3.0
(25)
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