scholarly journals Outcome of Corrective Dome Osteotomy for Cubitus Varus Deformity

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.

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.

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

2012 ◽  
Vol 32 (4) ◽  
pp. 385-393 ◽  
Author(s):  
Samik Banerjee ◽  
Kanchan Kumar Sabui ◽  
Jayanta Mondal ◽  
Sundeep Jeten Raj ◽  
Dilip Kumar Pal
Keyword(s):  
Varus Deformity ◽  
Cubitus Varus ◽  
Dome Osteotomy

scholarly journals MANAGEMENT OF CUBITUS VARUS DEFORMITY BY LATERAL CLOSING WEDGE OSTEOTOMY- A CASE SERIES

2017 ◽  
Vol 6 (27) ◽  
pp. 2275-2277
Author(s):  
Murugasarathy Sambandam ◽  
Kalaiyarasan Thamizharasan ◽  
Duraisamy Ezhilmaran ◽  
Maharajothi Paramasivam
Keyword(s):  
Case Series ◽  
Varus Deformity ◽  
Wedge Osteotomy ◽  
Cubitus Varus ◽  
Closing Wedge Osteotomy ◽  
Closing Wedge

scholarly journals Ulrasonography guided Closed Reduction in the Treatment of Displaced Transphyseal Fracture of the Distal Humerus

2020 ◽  
Author(s):  
Hai Zhou ◽  
Ge Zhang ◽  
Ming Li ◽  
Xiangyang Qu ◽  
Yujiang Cao ◽  
...  
Keyword(s):  
Closed Reduction ◽  
Elbow Flexion ◽  
Distal Humerus ◽  
Cubitus Varus ◽  
Radiographic Outcomes ◽  
Male Patients ◽  
The Mean ◽  
Carrying Angle ◽  
Low Incidence

Abstract Background: To evaluate the clinical and radiographic outcomes after ulrasonography guided Closed reduction in the treatment of displaced transphyseal fracture of the distal Humerus (TFDH).Methods: Twenty-seven patients with displaced TFDH successfully treated by the ulrasonography guided closed reduction during January 2012 to December 2016 were retrospective reviewed. After mean follow-up of 34.88 months, the clinical and radiographic outcomes of patients were evaluated. The cubitus varus of the affected elbow were also assessed at latest follow-up.Results: The successful rate of ultrasonography guided closed reduction in the treatment of displaced TFDH was 84% (27/32). The twenty-seven patients with successful reduction were included for the following analysis. There were 20 male patients and 7 female patients included the study and the mean age at treatment was 15.39±3.10 months, seventeen fractures occurred in right side elbow and ten in left side. At the last follow-up, there were significant decreases in the elbow flexion (3°, P=0.027) and range of motion (5°, P=0.003) between the injured and uninjured elbow, respectively. Whereas no difference in elbow extension was detected (P=0.110). Flynn’s criteria assessment showed that all the patients achieved excellent or good outcomes both in the functional and cosmetic categories. The clinical and radiographic carrying angle at the last follow-up were 11.67 ± 3.11° and 10.46 ± 3.88°, respectively. And the incidence of cubitus varus after treament was 7.4% at last follow-up.Conclusion: The ultrasonography guided closed reduction in the treatment of displaced TFDH is an effective procedure, the adequate fracture reduction can be acquired with the advantages of real-time, non-radioactive, and simple utilization. With the percutaneous pining fixation, satisfactory clinical and radiographic outcomes can be achieved with low incidence of postoperative cubitus varus.

scholarly journals Dome Osteotomy Results for Correction of Cubitus Varus Deformity

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

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

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.

scholarly journals Supracondylar Osteotomies of Posttraumatic Distal Humeral Deformities in Young Adults - Technique and Results

2011 ◽  
Vol 5 (1) ◽  
pp. 389-394 ◽  
Author(s):  
Fokko Richard Buß ◽  
Arndt-Peter Schulz ◽  
Helmut Lill ◽  
Christine Voigt
Keyword(s):  
Young Adults ◽  
Late Complication ◽  
Varus Deformity ◽  
Functional Results ◽  
Distal Humerus ◽  
Valgus Deformity ◽  
Wedge Osteotomy ◽  
Lateral Epicondyle ◽  
Fractures In Children ◽  
Closed Wedge

Background: Cubitus varus deformity is the most common late complication after distal humeral fractures in children. Typical symptoms are increasing instability especially the posterolateral rotatory instability (POLRI), lateral elbow pain and cosmetic problems. Different ways of correction have been described but a gold standard has not yet been established. Methods: In this study the clinical outcome 6,5 months after supracondylar closed wedge osteotomy stabilized with locking plates in four young adults was investigated: three with a posttraumatic varus deformity and one with a posttraumatic valgus deformity of the distal humerus. Results: All patients showed good or excellent results in the Mayo Elbow Performance Score (MEPS) and the Disabilities of the Arm, Shoulder and Hand score (DASH). In one case, a revision because of a delayed union was necessary, in another case a preexisting pseudarthrosis of the radial epicondyle remained. Neither a residual instability of the elbow joint, nor any significant prominence of the lateral epicondyle was observed. Conclusion: The supracondylar closed wedge osteotomy stabilized by a locking plate is an effective procedure for the correction of posttraumatic distal humerus deformities in young adults with good final functional results.

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