Corrective Osteotomy for Cubitus Varus Deformity

1994 ◽  
Vol 14 (4) ◽  
pp. 487-491 ◽  
Author(s):  
Miguel A. Hernandez ◽  
James W. Roach
Keyword(s):  
Corrective Osteotomy ◽  
Varus Deformity ◽  
Cubitus Varus

scholarly journals Corrective Osteotomy in cubitus varus deformity in children: A prospective study

2021 ◽  
Vol 7 (3) ◽  
pp. 73-77
Author(s):  
Dr. Abhinav Kotak ◽  
◽  
Dr. Suresh Rudani ◽  
Keyword(s):  
Late Complication ◽  
Corrective Osteotomy ◽  
Tertiary Care ◽  
Varus Deformity ◽  
Lateral Condyle ◽  
Care Hospital ◽  
Cubitus Varus ◽  
Full Extension ◽  
Dome Osteotomy ◽  
Carrying Angle

Background and Aim: Cubitus varus deformity is the most common late complication aftersupracondylar fracture of the distal humerus in children, incidence varying from 4% to 58%. Thepresent study was done to evaluate the results of dome osteotomy. Material and Methods: Thisprospective study was conducted in a tertiary care hospital over 16 months. In all patients humerus-elbow wrist angle was measured on both sides and the correction needed was calculated. The lateralcondyle prominence index (LCPI) was calculated by anteroposterior view radiographs of thedeformed and the normal elbow in full extension by (AB-BC)/AC. Dome osteotomy with para tricepsapproach was used. Pre and post-operative carrying angle of elbow, range of motion and lateralprominence indices were compared. Results: The age of patients ranged from 3 to 15 years with amean age of 8.47±3.14 years. Preoperative carrying angle of normal side ranged from 80 to 140and that of effected side ranged from -23 to -13 and the difference was statistically significant(p<0.05). LCPI ranged from -8.4 to 5.9%. The majority of cases had LCPI >2.7%. As compared to,an improvement in carrying angle at defect side was observed to be 28.41±2.15 which wassignificant (p<0.05). At baseline mean LCPI was 0.39±3.87% which changed to -0.86±3.47%, themean change of this was significant (p=0.01). baseline Conclusion: Dome osteotomy is a relativelytechnically demanding technique for correction of cubitus varus deformity but with a betterfunctional outcome without being associated with lateral condyle prominence.

scholarly journals Three-Dimensional Corrective Osteotomy for Cubitus Varus Deformity with Use of Custom-Made Surgical Guides

2014 ◽  
Vol 4 (1) ◽  
pp. e6 ◽  
Author(s):  
Tsuyoshi Murase ◽  
Yukari Takeyasu ◽  
Kunihiro Oka ◽  
Toshiyuki Kataoka ◽  
Hiroyuki Tanaka ◽  
...  
Keyword(s):  
Corrective Osteotomy ◽  
Three Dimensional ◽  
Varus Deformity ◽  
Cubitus Varus ◽  
Surgical Guides ◽  
Custom Made

scholarly journals New corrective osteotomy for cubitus varus deformity.

1988 ◽  
Vol 36 (4) ◽  
pp. 1306-1308
Author(s):  
Yoshio Uchida ◽  
Tetsuo Kojima ◽  
Kousuke Ogata ◽  
Youichi Sugioka
Keyword(s):  
Corrective Osteotomy ◽  
Varus Deformity ◽  
Cubitus Varus

Dome Corrective Osteotomy for Cubitus Varus Deformity

2000 ◽  
Vol 380 ◽  
pp. 158-166 ◽  
Author(s):  
Yin-Chun Tien ◽  
Hua-Woei Chih ◽  
Gau-Tyan Lin ◽  
Sen-Yuen Lin
Keyword(s):  
Corrective Osteotomy ◽  
Varus Deformity ◽  
Cubitus Varus

scholarly journals Three-Dimensional Corrective Osteotomy for Cubitus Varus Deformity with Use of Custom-Made Surgical Guides

2014 ◽  
Vol 1000 (12) ◽  
pp. e6-e6
Author(s):  
T. Murase ◽  
Y. Takeyasu ◽  
K. Oka ◽  
T. Kataoka ◽  
H. Tanaka ◽  
...  
Keyword(s):  
Corrective Osteotomy ◽  
Three Dimensional ◽  
Varus Deformity ◽  
Cubitus Varus ◽  
Surgical Guides ◽  
Custom Made

POSTEROLATERAL ROTATORY INSTABILITY OF THE ELBOW AFTER CORRECTIVE OSTEOTOMY FOR PREVIOUSLY ASYMPTOMATIC CUBITUS VARUS DEFORMITY

Hand Surgery ◽  
2014 ◽  
Vol 19 (02) ◽  
pp. 163-169 ◽  
Author(s):  
Sang Gyo Seo ◽  
Hyun Sik Gong ◽  
Young Ho Lee ◽  
Seung Hwan Rhee ◽  
Hyuk Jin Lee ◽  
...  
Keyword(s):  
Clinical Symptoms ◽  
Corrective Osteotomy ◽  
Varus Deformity ◽  
Surgical Correction ◽  
Careful Examination ◽  
Cubitus Varus ◽  
Rotatory Instability ◽  
Posterolateral Rotatory Instability ◽  
Significant Difference ◽  
Patient Reported

Background: We identified a subset of patients who had posterolateral rotatory instability (PLRI) following corrective osteotomy for asymptomatic cubitus varus deformity. We aimed to identify risk factors for PLRI in such patients by comparing this subgroup to patients who did not demonstrate PLRI following osteotomy.Methods: We retrospectively reviewed the medical records and radiographs of 22 patients with cubitus varus that underwent corrective osteotomy at our institution between 2003 and 2010. All patients underwent surgery for cosmetic reasons, and no patient reported functional problems such as PLRI or ulnar nerve symptoms pre-operatively. We sought to identify differences between those that experienced an increase in PLRI after osteotomy (PLRI group) and those that did not (non-PLRI group) with regard to demographics, degree of deformity, amount of surgical correction, and final outcomes.Results: Five patients had PLRI after osteotomy, and all five subsequently underwent lateral ulnar collateral ligament reconstruction using a triceps tendon graft. No statistically significant difference was observed between the PLRI and non-PLRI groups in terms of demographics, degree of deformity, amount of surgical correction, range of motion, and final Mayo Elbow Performance Index (MEPI) and the Disabilities of Arm, Shoulder, and Hand (DASH) scores. However, the PLRI group had marginally greater medial displacement of the distal fragment.Conclusions: This study demonstrates that PLRI can become apparent after corrective osteotomy for cubitus varus in the absence of clinical symptoms of instability preoperatively. We suggest that careful examination for PLRI should be performed after surgical correction for cubitus varus deformity, and surgeons should be prepared to proceed with simultaneous reconstruction of the lateral ligaments of the elbow.

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

2019 ◽  
Vol 14 (1) ◽  
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.

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

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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