Underlying causes of poor outcomes in the treatment of children with fractures of the capitulum of the distal humeru

This study aimed to determine the causative factors underlying poor outcomes in the treatment of children with fractures of the capitulum of the distal  humerus. Materials and Methods : We conducted a retrospective analysis of community-based treatment of 36 patients with fractures of the capitulum of the distal humerus who presented to the Department of rehabilitation between 2010 and 2015 owing to poor treatment outcomes. Analysis only involved patients presenting with an extensive dataset with regard to their treatment, including X-rays taken at the time of the injury and at subsequent stages of treatment. Results : It was found that there had been inaccuracies at the stage of diagnosis in 47.2% of patients, errors in the selection of treatment in 13.9%, and errors in post-operative management in 38.9%. Conclusion : When interpreting radiographs, it is important that physicians clearly assess the degree of displacement when evaluating fractures of the capitulum of the distal humerus. Dislocated fractures require the most accurate reposition. When choosing a treatment method, it is important to predict the possibility of post-traumatic complications. Accumulating evidence of clinical errors indicates that more attention should be paid to the treatment of elbow fractures during the postgraduate education of specialists.