Management of Cubitus Varus  Deformity in Children by  Closed Dome Osteotomy

Verka, Partap Singh; Kejariwal, Ujjwal; Singh, Bijendra

doi:10.7860/jcdr/2017/24345.9551

Cited by 16 publications

(22 citation statements)

References 17 publications

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“…Passive flexion and extension was started immediately after the supplemental K-wire was removed and signs of callus formation were noted radiographically. This finding correlates with the similar study done by Verka et al, Tien et al, Wong et al and Skaggs et al 10,19,21…”

Section: Operative Techniquesupporting

confidence: 93%

“…Similar study done by Cheng JC, Farnsworth, Houshian, Topping and Verka et al also found the non-dominant side (left) to be more frequently affected than the dominant side. 10,11,13,18 Pre-operatively amongst 50 patients 24 patients (48% of total) had varus angle of (-16) to (-20) degrees. This finding doesnot correlate with the similar study done by Verka et al 10 Out of 50 patients 9 (18%) patients developed minor complications, of which 5 (10%) had lateral K-wire loosening or minor pin track infection, 2 (4%) had wound infection and 2 (4%) had loss of reduction.…”

Section: Operative Techniquementioning

confidence: 99%

“…10,11,13,18 Pre-operatively amongst 50 patients 24 patients (48% of total) had varus angle of (-16) to (-20) degrees. This finding doesnot correlate with the similar study done by Verka et al 10 Out of 50 patients 9 (18%) patients developed minor complications, of which 5 (10%) had lateral K-wire loosening or minor pin track infection, 2 (4%) had wound infection and 2 (4%) had loss of reduction. Similar complications were also observed in other study done by Sath et al, Farr et al, Verka et al and Tien et al 10,15,16,19 Among 50 patients 25 (50%) patients had no loss of range of movement while 20 (40%) had 1 to 5 degrees of loss of range of movement, 2 had 6 to 10 degrees loss of range of movement, 1 had 15 degrees loss of movement and remaining 2 had 16 to 20 degrees loss of range of movement.…”

Section: Operative Techniquementioning

confidence: 99%

“…9 Dome osteotomy successfully provides highest stability of maintaining the correction, avoids lateral condyle becoming more prominent and less scar, but it needs special instruments and expertise to perform. 10 The present study was carried out with the objectives to determine the efficacy and outcome of Lateral closing wedge osteotomy in children as a treatment of malunited supracondylar fracture of humerus with cubitus varus and to evaluate various technical problems, morbidity, complications and to suggest ways to overcome them.…”

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confidence: 99%

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Evaluation of management of malunited supracondylar fracture of humerus by lateral closing wedge osteotomy

Sharma¹,

Sharma²

2018

Int J Res Orthop

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Background: Various osteotomies have been in use for correction of varus deformity at elbow secondary to malunited supracondylar humerus fracture in children. The objectives of the study were to determine the efficacy & outcome of lateral closing wedge osteotomy in children as a treatment of malunited supracondylar fracture of humerus with cubitus varus and to evaluate various technical problems, morbidity, complications of Lateral closing wedge osteotomy and to suggest ways to overcome them.Methods: This prospective study was conducted among 50 cases of malunited supracondylar fracture of humerus who visited in OPD during 1st September 2008 to 31st August 2010. After pre-operative assessment, lateral closing wedge osteotomy was done and fixed with two 3.5 mm screws, figure of eight tension band stainless steel wire and a supplemental lateral k-wire. Post operatively x-ray of patient was taken and carrying angle and range of movement were calculated. Patients were re-assessed at complete union.Results: Maximum patients were from the age group of 8 to 10 years- 22 cases, mean age 13.08 years, 80% male. Left (non-dominant) side was involved in 30 (60%) cases. Around 18% cases developed complications. 25 (50%) patients had no loss of range of movement and 2 (4%) had 16 to 20 degrees loss of range of movement. Almost 36 (72%) cases had excellent outcome, 11 (22%) cases had good outcome, 3 (6%) cases had poor outcome due to loss of fixation, 47 (94%) patients/parents were satisfied with the final outcome.Conclusions: Lateral closing wedge osteotomy with a lateral K-wire is a sound, cost-effective, technically less demanding modality of treatment for varus deformity due to malunited supracondylar fracture of humerus in children with minimum complications.

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Section: Operative Techniquesupporting

confidence: 93%

Section: Operative Techniquementioning

confidence: 99%

Section: Operative Techniquementioning

confidence: 99%

mentioning

confidence: 99%

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Evaluation of management of malunited supracondylar fracture of humerus by lateral closing wedge osteotomy

Sharma¹,

Sharma²

2018

Int J Res Orthop

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“…Cubitus varus deformity (CVD) is the most common late complication after supracondylar fracture of distal humerus in children with a reported incidence of up to 50% [1]. The etiologies of this deformity derive mostly from malunion and rarely from avascular necrosis with or without growth arrest of the medial physis [2], which results in multiplanar deformity (varus, hyperextension, and rotation) [3]. Current standard treatment of CVD is corrective supracondylar osteotomy of the humerus, and many surgical correction techniques have been described in the literature [2].…”

Section: Introductionmentioning

confidence: 99%

Using 3D Printing Technology for Corrective Biplanar Chevron Osteotomy with Customized Osteotomy Guide and Patient-Matched Monoblock Crosslink Plate in Treatment of Cubitus Varus Deformity: A Case Report and Technical Note

Sri-utenc

Pengrung

SrikonK

et al. 2020

Preprint

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Background Cubitus varus deformity (CVD), a common complication after a supracondylar fracture of the distal humerus, is usually treated with corrective osteotomy. However, due to the complex anatomy of the distal humerus, conventional osteotomy techniques are sometimes unreliable and can result in an inaccurate correction, residual deformity, and lateral condyle prominence. Recently, medial three-dimensional (3D) printing technology has demonstrated potential benefits for the treatment of CVD by improving the accuracy of the osteotomy through the use of an osteotomy guide with or without a patient-mated plate. This study aimed to present an interesting CVD case involving a patient who was treated with corrective biplanar Chevron osteotomy using an innovative customized osteotomy guide and a newly designed patient-matched monoblock crosslink plate created with 3D printing technology. Methods A computer simulation was processed using images from computerized tomography(CT) scans of both upper extremities. The biplanar Chevron osteotomy was designed to create identical anatomy between the mirror image of the contralateral distal humerus and the osteotomized distal humerus. Next, the customized osteotomy guide and patient-matched monoblock crosslink plate were designed and printed. A simulation osteotomy for the real-sized bone model was created. Results The operation was performed using the posterior paratricipital approach and the k-wire position from the customized osteotomy guide as a predrilled hole for screw fixation to achieve immediate control of the reduction after osteotomy. Our method helped successfully treat the CVD in the case study patient and significantly improved her radiographic and clinical outcomes with a satisfactory result. Conclusion This study showed that the treatment of CVD using 3D printing technology to create an innovative customized osteotomy guide and a patient-matched monoblock crosslink plate can help accurately assess and control the CVD correction. To the best of our knowledge, this case report introduces a new insight for the clinical application of 3D printing technology in the treatment of CVD.

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Three-dimensional corrective osteotomy for cubitus varus deformity using patient-matched instruments

Oka,

Miyamura,

Shiode

et al. 2024

JSES International

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Management of Cubitus Varus Deformity in Children by Closed Dome Osteotomy

Cited by 16 publications

References 17 publications

Evaluation of management of malunited supracondylar fracture of humerus by lateral closing wedge osteotomy

Evaluation of management of malunited supracondylar fracture of humerus by lateral closing wedge osteotomy

Using 3D Printing Technology for Corrective Biplanar Chevron Osteotomy with Customized Osteotomy Guide and Patient-Matched Monoblock Crosslink Plate in Treatment of Cubitus Varus Deformity: A Case Report and Technical Note

Three-dimensional corrective osteotomy for cubitus varus deformity using patient-matched instruments

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