The preferred treatment option for this fracture is an open approach and stable fixation.
In most cases it is possible to perform screw fixation. Only in the rare situation of a young child is K-wire fixation indicated.
Timing of treatment
Only severely displaced fractures with risk of secondary damage (eg, skin perforation by the pressure of the fragment) and open fractures are indications for emergency surgery.
There is evidence that in nonurgent cases a delay in treatment of up to 2-3 days has no negative effect on healing or outcome.
The following points influence the timing of the treatment:
- Availability of surgical resources, including an experienced surgeon and cannulated screw equipment
- The patient should be treated on a routine operating list, preferably the day after injury. In the meantime, plaster splint immobilization and elevation of the elbow joint is recommended for pain management