DOI: https://doi.org/10.36347/sjams.2026.v14i05.040

Pages: 885-889

Background: Lateral condyle fractures of the distal humerus are among the most common pediatric elbow injuries and require precise management to prevent long-term complications. Although Kirschner wire fixation is widely used, cannulated screw fixation provides interfragmentary compression, which may enhance fracture stability and promote early union. This study aimed to evaluate the clinical and radiological outcomes of screw fixation in displaced lateral condyle fractures in children. Methods: This prospective quasi-experimental study included 59 pediatric patients with displaced Milch type II lateral condyle fractures treated between January 2016 and December 2023 at a tertiary care center. All patients underwent open reduction and internal fixation using a 4.0 mm partially threaded cannulated cancellous screw. Patients were followed up for a minimum of 48 weeks. Outcomes were assessed clinically and radiologically, and functional results were evaluated using Hardacre criteria. Data were analyzed using descriptive statistics with 95% confidence intervals. Results: All fractures achieved union (100%), with a mean time to consolidation of 8.11 ± 1.08 weeks. The overall complication rate was 11.29%. The mean loss of elbow extension was 2.89° ± 3.4°, and flexion loss was 2.67° ± 1.9°. Satisfactory functional outcomes (excellent and good) were observed in 94.91% of cases. Conclusion: Screw fixation represents a promising treatment modality for displaced lateral condyle fractures of the humerus in children, demonstrating satisfactory fracture union, maintenance of reduction, and good functional recovery. The method provides adequate interfragmentary compression and allows early mobilization with an acceptable complication profile. Nevertheless, further prospective comparative studies are warranted to clarify its advantages over other established fixation techniques.