Cubitus Varus Deformity Following Supracondylar Fractures of the Humerus in Children

Background: Loss of carrying angle at elbow (Cubitus varus) remains one of the commonest complications of supracondylar fractures. Despite the numerous ways are described of treating supracondylar fractures, cubitus varus remains a significant problem. It can only be prevented by achieving and maintaining accurate reduction. Cubitus varus deformity is not a functional problem, but it may become so disfiguring that correction is indicated.Methods: A total of 10 cases of cubitus varus deformity were treated with modified French osteotomy outcome was measured with by the method of Oppenheim WL, Clader et al.Results: In this study 10 cases treated with modified French osteotomy. In the present study 70% cases were female. All the patients were in the age group of 6-13 years. The average correction of carrying angle was 5.7 0 of valgus. All the patients were having nearly normal range of motion of the affected elbow. Only one patient suffered radial nerve injury. There was no infection or hypertrophic scar or non-union. The study showed result in the form of excellent - 70%, Good - 20% and poor - 10%.Conclusions: Modified French method proved safe and satisfactory as it has improved anatomy and cosmetic results. Loss of correction of cubitus varus deformity does not occur. A proper cases selection and proper planning of osteotomy, attention to the technical details is crucial to the success of supracondylar osteotomy of the humerus for correction of cubitus varus.

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Three-dimensional analysis of cubitus varus deformity after supracondylar fractures of the humerus

Journal of Shoulder and Elbow Surgery ◽

10.1016/j.jse.2010.11.020 ◽

2011 ◽

Vol 20 (3) ◽

pp. 440-448 ◽

Cited By ~ 36

Author(s):

Yukari Takeyasu ◽

Tsuyoshi Murase ◽

Junichi Miyake ◽

Kunihiro Oka ◽

Sayuri Arimitsu ◽

...

Keyword(s):

Dimensional Analysis ◽

Three Dimensional ◽

Varus Deformity ◽

Cubitus Varus ◽

Supracondylar Fractures

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Supracondylar fractures of the humerus: prediction of the cubitus varus deformity with CT.

Radiology ◽

10.1148/radiology.168.2.3393673 ◽

1988 ◽

Vol 168 (2) ◽

pp. 513-515 ◽

Cited By ~ 10

Author(s):

B W Hindman ◽

R R Schreiber ◽

D A Wiss ◽

M J Ghilarducci ◽

R E Avolio

Keyword(s):

Varus Deformity ◽

Cubitus Varus ◽

Supracondylar Fractures

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Posterior Instability of the Shoulder After Supracondylar Fractures Recovered With Cubitus Varus Deformity

Journal of Pediatric Orthopaedics ◽

10.1097/01241398-200203000-00013 ◽

2002 ◽

Vol 22 (2) ◽

pp. 198-202 ◽

Cited By ~ 6

Author(s):

Ilksen Gurkan ◽

Kenan Bayrakci ◽

Bulent Tasbas ◽

Bulent Daglar ◽

Ugur Gunel ◽

...

Keyword(s):

Varus Deformity ◽

Cubitus Varus ◽

Posterior Instability ◽

Supracondylar Fractures

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Locking plate for cubitus varus correction in osteogenesis imperfecta: a case report of 7 year-old girl

10.21203/rs.3.rs-41740/v1 ◽

2020 ◽

Author(s):

Pan Hong ◽

Ruikang Liu ◽

Saroj Rai ◽

Ruijing Xu ◽

Jin Li

Keyword(s):

Osteogenesis Imperfecta ◽

Locking Plate ◽

Varus Deformity ◽

Supracondylar Fracture ◽

Pharmacological Intervention ◽

Corrective Surgery ◽

Cubitus Varus ◽

Supracondylar Fractures ◽

Fractures In Children ◽

Challenging Situation

Abstract Background Cubitus varus deformity is a common complication of supracondylar fractures in children. However, cubitus varus in osteogenesis imperfect (OI) children is a rare but challenging situation. To the author’s knowledge, it is the first study discussing the correction of cubitus varus deformity in OI patient. Here we report a case of an 7-year-old OI girl who presented with varus deformities of the bilateral lower extremities and cubitus varus deformity of the left elbow due to a supracondylar fracture of humerus 3 year ago. The patient’s parent gave a history of supracondylar fracture of left humerus 3 years ago. Without medical intervention, the patient was admitted into our institution for corrective surgery with the diagnosis of osteogenesis imperfecta and cubitus varus deformity in the left arm. Result Medications including calcium, vitamin D and bisphosphonates were administered before the corrective surgery of cubitus varus, and a single locking plate was used to after the osteotomy. Right after the surgery, the appearance and ROM of the left arm was almost normal. Combined with gradual rehabilitation, the ROM of the left arm was normal without pain during daily use. The hardware was removed as the nailing of the forearm fractures was performed at the same time. Conclusion Cubitus varus is a common deformity in children resulting from elbow injuries, but it presents a challenging situation in OI patients. Locking plate combined with meticulous pharmacological intervention provides a good option for corrective surgery of cubitus varus in OI.

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Efficacy evaluation of three-dimensional printing assisted osteotomy guide plate in accurate osteotomy of adolescent cubitus varus deformity

Journal of Orthopaedic Surgery and Research ◽

10.1186/s13018-019-1403-7 ◽

2019 ◽

Vol 14 (1) ◽

Cited By ~ 3

Author(s):

Yuan-Wei Zhang ◽

Xin Xiao ◽

Wen-Cheng Gao ◽

Yan Xiao ◽

Su-Li Zhang ◽

...

Keyword(s):

3D Printing ◽

Blood Loss ◽

Three Dimensional ◽

Operation Time ◽

Varus Deformity ◽

Conventional Group ◽

Intraoperative Blood Loss ◽

Cubitus Varus ◽

Guide Plate ◽

Significant Difference

Abstract Background This present study is aimed to retrospectively assess the efficacy of three-dimensional (3D) printing assisted osteotomy guide plate in accurate osteotomy of adolescent cubitus varus deformity. Material and methods Twenty-five patients (15 males and 10 females) with the cubitus varus deformity from June 2014 to December 2017 were included in this study and were enrolled into the conventional group (n = 11) and 3D printing group (n = 14) according to the different surgical approaches. The operation time, intraoperative blood loss, osteotomy degrees, osteotomy end union time, and postoperative complications between the two groups were observed and recorded. Results Compared with the conventional group, the 3D printing group has the advantages of shorter operation time, less intraoperative blood loss, higher rate of excellent correction, and higher rate of the parents’ excellent satisfaction with appearance after deformity correction (P < 0.001, P < 0.001, P = 0.019, P = 0.023). Nevertheless, no significant difference was presented in postoperative carrying angle of the deformed side and total complication rate between the two groups (P = 0.626, P = 0.371). Conclusions The operation assisted by 3D printing osteotomy guide plate to correct the adolescent cubitus varus deformity is feasible and effective, which might be an optional approach to promote the accurate osteotomy and optimize the efficacy.

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An Innovative and Cost-Advantage CAD Solution for Cubitus Varus Surgical Planning in Children

Applied Sciences ◽

10.3390/app11094057 ◽

2021 ◽

Vol 11 (9) ◽

pp. 4057

Author(s):

Leonardo Frizziero ◽

Gian Maria Santi ◽

Christian Leon-Cardenas ◽

Giampiero Donnici ◽

Alfredo Liverani ◽

...

Keyword(s):

Computer Aided Design ◽

Low Cost ◽

Cost Effective ◽

Varus Deformity ◽

Patient Specific ◽

Cubitus Varus ◽

Surgical Guide ◽

Traditional Procedure ◽

Custom Made ◽

Patient Specific Instruments

The study of CAD (computer aided design) modeling, design and manufacturing techniques has undergone a rapid growth over the past decades. In medicine, this development mainly concerned the dental and maxillofacial sectors. Significant progress has also been made in orthopedics with pre-operative CAD simulations, printing of bone models and production of patient-specific instruments. However, the traditional procedure that formulates the surgical plan based exclusively on two-dimensional images and interventions performed without the aid of specific instruments for the patient and is currently the most used surgical technique. The production of custom-made tools for the patient, in fact, is often expensive and its use is limited to a few hospitals. The purpose of this study is to show an innovative and cost-effective procedure aimed at prototyping a custom-made surgical guide for address the cubitus varus deformity on a pediatric patient. The cutting guides were obtained through an additive manufacturing process that starts from the 3D digital model of the patient’s bone and allows to design specific models using Creo Parametric. The result is a tool that adheres perfectly to the patient’s bone and guides the surgeon during the osteotomy procedure. The low cost of the methodology described makes it worth noticing by any health institution.

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