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

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.

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Outcome of Corrective Dome Osteotomy for Cubitus Varus Deformity

Journal of Nobel Medical College ◽

10.3126/jonmc.v8i2.26760 ◽

2019 ◽

Vol 8 (2) ◽

pp. 42-46

Author(s):

Ranjib Kumar Jha ◽

Santosh Thapa ◽

Dhiraj Singh

Keyword(s):

Varus Deformity ◽

Distal Humerus ◽

Late Complications ◽

Wedge Osteotomy ◽

Cubitus Varus ◽

Excellent Outcome ◽

Dome Osteotomy ◽

Versatile Technique ◽

Carrying Angle ◽

Operative Assessment

Background: The cubitus varus deformity is one of the most common late complications of fracture supracondylar area of humerus in children. Various corrective osteotomies are used of which lateral closed wedge osteotomy is commonly done which has its own disadvantages like lateral condylar prominence, difficulty in achieving correction and limitation of movement. Dome osteotomy is a versatile technique to achieve correction of deformity in all planes and to overcome these above complications. The aim of this study was to evaluate the results of dome osteotomy for correction of post-traumatic cubitus varus deformity of elbow in children. Materials and Methods: The study included 18 children between 6-13 years of age of both sex with malunited supracondylar fracture of distal humerus having cubitus varus deformity. After appropriate pre- operative assessment, dome osteotomy was done by posterior approach. In pre and post operative x-ray carrying angle and lateral condylar prominence Index (LCPI) were calculated. Patients were re-assessed at complete union and results were calculated. Results: In this study of 18 patients, 12 were males and 6 were females. The age ranged from 6-13 yrs with average of 8.4yrs. The average correction of carrying angle was from -22.4 degree to +10 degree. LCPI changed post operatively ranging from -8.6% to +3.25%, average -2.9%. There were no significant complications. Fifteen patients had excellent outcome and 3 had good outcome. Conclusion: The results in our study concluded that dome osteotomy for cubitus varus is safe and effective method and give cosmetically more acceptable elbow.

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Corrective Dome Osteotomy Using the Paratricipital (Triceps-sparing) Approach for Cubitus Varus Deformity in Children

Journal of Pediatric Orthopaedics ◽

10.1097/bpo.0b013e318255e309 ◽

2012 ◽

Vol 32 (4) ◽

pp. 385-393 ◽

Cited By ~ 14

Author(s):

Samik Banerjee ◽

Kanchan Kumar Sabui ◽

Jayanta Mondal ◽

Sundeep Jeten Raj ◽

Dilip Kumar Pal

Keyword(s):

Varus Deformity ◽

Cubitus Varus ◽

Dome Osteotomy

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Lateral Condyle Prominence Following Lateral Closing Wedge Osteotomy for Cubitus Varus Deformity

The Journal of the Korean Orthopaedic Association ◽

10.4055/jkoa.2004.39.4.409 ◽

2004 ◽

Vol 39 (4) ◽

pp. 409

Author(s):

Sung Soo Kim ◽

Wook Kim

Keyword(s):

Varus Deformity ◽

Wedge Osteotomy ◽

Lateral Condyle ◽

Cubitus Varus ◽

Closing Wedge Osteotomy ◽

Closing Wedge

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Dome osteotomy using the paratricipital (triceps-sparing) approach for cubitus varus deformity in children

Journal of Pediatric Orthopaedics B ◽

10.1097/bpb.0000000000000205 ◽

2016 ◽

Vol 25 (1) ◽

pp. 62-68 ◽

Cited By ~ 3

Author(s):

Ayman M. Ali ◽

Bassam A. Abouelnas ◽

Hatem S.A. Elgohary

Keyword(s):

Varus Deformity ◽

Cubitus Varus ◽

Dome Osteotomy

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Dome Osteotomy Results for Correction of Cubitus Varus Deformity

Turkiye Klinikleri Journal of Medical Sciences ◽

10.5336/medsci.2015-43719 ◽

2015 ◽

Vol 35 (3) ◽

pp. 157-165

Author(s):

Kürşad AYTEKİN ◽

Bora BOSTAN ◽

Orhan BALTA ◽

Recep KURNAZ ◽

Murat AŞCI ◽

...

Keyword(s):

Varus Deformity ◽

Cubitus Varus ◽

Dome Osteotomy

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Prospective study of cubitus varus deformity, its etiopathology, clinical study and treatment

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20164549 ◽

2016 ◽

Vol 5 (1) ◽

pp. 201

Author(s):

Ulhas Dudhekar

Keyword(s):

Varus Deformity ◽

Age Group ◽

Cubitus Varus ◽

Supracondylar Fractures ◽

Normal Range ◽

Non Union ◽

Functional Problem ◽

Technical Details ◽

Carrying Angle ◽

Supracondylar Osteotomy

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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Management of Cubitus Varus Deformity in Children by Closed Dome Osteotomy

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2017/24345.9551 ◽

2017 ◽

Author(s):

Partap Singh Verka

Keyword(s):

Varus Deformity ◽

Cubitus Varus ◽

Dome Osteotomy

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Outcome of three dimensional osteotomy for cubitus varus deformity

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20211600 ◽

2021 ◽

Vol 7 (3) ◽

pp. 444

Author(s):

Krishna Priya Das ◽

Nakul Kumar Datta ◽

Mohammad Zahidulhak Khan ◽

Jahidul Islam ◽

Rumpa Mani Chowdhury

Keyword(s):

Three Dimensional ◽

Varus Deformity ◽

Angular Deformity ◽

Cubitus Varus ◽

Satisfactory Outcome ◽

Internal Rotation Angle ◽

Clinical And Radiological Outcome ◽

Safe Technique ◽

Carrying Angle

Background: Cubitus varus is the most common angular deformity resulting from supracondylar fracture of the humerus in children and adults. There are several options for correcting this deformity, but three dimensional osteotomy is now a popular method for the operative treatment of cubitus varus deformity. Objective of current study was to evaluate clinical and radiological outcome of three dimensional corrective osteotmy for cubitus varus deformity.Methods: This prospective interventional study was conducted in the department of orthopaedic surgery, BSMMU, Shahbag, Dhaka from January 2016 to September 2020. Within this period, total 40 cases of cubitus varus deformity, age ranging from 8-20 years that has the inclusion criteria was enrolled as a study sample with proper consent. All the data were analyzed statistically by using SPSS-22.Results: The results of present study showed significantly improved carrying angle, range of motion, internal rotation angle at the time of final follow-up period of six months or more. The outcome of the subjects was graded as excellent in 16 (40%), good in 18 (45%), fair in 4 (10%) and poor in 2 (5%) patients. Excellent, good and fair results were considered as satisfactory outcome and only poor result was considered as unsatisfactory outcome.Conclusions: After analyzing the results of present study it can be concluded that three dimensional osteotomy is a safe technique with satisfactory outcome in treatment of cubitus varus deformity.

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