Osteotomy for cubitus varus:A simple technique in 10 children

Mahaisavariya, Banchong; Laupattarakasem, Wiroon

doi:10.3109/17453679608995611

Cited by 19 publications

(8 citation statements)

References 17 publications

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“…7,29,31,[33][34][35] The technical domain results of the translation stepcut osteotomy are comparable with other reports that evaluated the correction of cubitus varus through a distal humeral osteotomy. 1,6,10,12,16,27,36,38,40,42,43 The final average HUA was 9 degrees of valgus which is very near the normal average HUA of 13 degrees in women and 11 degrees in men reported in the literature. 23 In addition, 22 of 25 patients with documentation in the chart were symmetric within 5 degrees of their unaffected limb.…”

Section: Discussionsupporting

confidence: 56%

“…38,39 One potential consequence reported to be associated with these type of osteotomies has been the creation a prominent lateral condyle. 21,39,40 Voss reported that 42% of the patients surveyed after surgery noticed a bump and Barrett found that 47% of the patients evaluated after surgery noticed a bony prominence. 39,41 In essence, these procedures have corrected 1 cosmetic deformity only to create another cosmetic deformity.…”

Section: Discussionmentioning

confidence: 97%

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Translation Step-cut Osteotomy for the Treatment of Posttraumatic Cubitus Varus

Davids

Lamoreaux

Brooker

et al. 2011

Journal of Pediatric Orthopaedics

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The translation step-cut osteotomy reliably corrects the coronal plane angular deformity associated with cubitus varus, resulting in excellent outcomes in technical, functional, and satisfaction domains. The osteotomy is relatively simple to perform, and is inherently more stable than other proposed methods. It also minimizes the prominence of the lateral condyle associated with simple lateral closing wedge osteotomy.

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Section: Discussionsupporting

confidence: 56%

Section: Discussionmentioning

confidence: 97%

Translation Step-cut Osteotomy for the Treatment of Posttraumatic Cubitus Varus

Davids

Lamoreaux

Brooker

et al. 2011

Journal of Pediatric Orthopaedics

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“…In addition to nerve injuries, we also investigated three other specific complications, where reported, including residual varus deformity, infection and re-operation. Major Mahaisavaniya et al 1996 49 Levine et al 1996 48 Laupattarakasem et al 1989 47 Labelle et al 1982 46 Kumar et al 2000 20 Kumar et al 2000 20 Kim et al 1998 15 Karastosun et al 2000 17 Kanaujia et al 1988 10 Jain et al 2000 45 Hui et al 2004 43 Hernandez et al 1994 42 Graham et al 1990 41 Gaddy 1994 et al 40 El-Adl et al 2007 39 Devnani et al 1997 38 Derosa 1988 et al 14 Davids et al 2011 13 Danielsson et al 1991 37 Cho et al 2009l 36 Beslikas et al 1999 35 Bellemore et al 1984 34 Bali Diagram of estimated complication rates for the included studies.…”

Section: Resultsmentioning

confidence: 99%

Supracondylar osteotomy for the treatment of cubitus varus in children

Solfelt

Hill

Anderson

et al. 2014

The Bone & Joint Journal

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Cubitus varus is the most frequent complication following the treatment of supracondylar humeral fractures in children. We investigated data from publications reporting on the surgical management of cubitus varus found in electronic searches of Ovid/MEDLINE and Cochrane Library databases. In 894 children from 40 included studies, the mean age at initial injury was 5.7 years (3 to 8.6) and 9.8 years (4 to 15.7) at the time of secondary correction. The four osteotomy techniques were classified as lateral closing wedge, dome, complex (multiplanar) and distraction osteogenesis. A mean angular correction of 27.6º (18.5° to 37.0°) was achieved across all classes of osteotomy. The meta-analytical summary estimate for overall rate of good to excellent results was 87.8% (95% CI 84.4 to 91.2). No technique was shown to significantly affect the surgical outcome, and the risk of complications across all osteotomy classes was 14.5% (95% CI 10.6 to 18.5). Nerve palsies occurred in 2.53% of cases (95% CI 1.4 to 3.6), although 78.4% were transient. No one technique was found to be statistically safer or more effective than any other.

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“…Many types of osteotomy and fixation have been described to correct these deformities. 5,[7][8][9][10][11][12][13][14][15][16][17] Most, however, are associated with well recognised technical problems and significant complications. 9,[11][12][13]17 These include under-or over-correction, failure of fixation, neuropraxia, an unsightly scar, refracture at the osteotomy site, limitation of range of movement (ROM) at the elbow, infection and nerve injury.…”

mentioning

confidence: 99%

The management of cubitus varus and valgus using the Ilizarov method

Pişkin¹,

Tomak²,

Şen

et al. 2007

The Journal of Bone and Joint Surgery. British volume

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Cubitus varus and valgus are the most common complications of supracondylar and lateral condylar fractures. Various combinations of osteotomy and fixation have been described to correct these deformities but each is associated with significant complications. In this study, we used distraction osteogenesis and Ilizarov frame fixation to treat 24 elbows in 23 patients with cubitus varus or valgus. Their clinical outcome was evaluated using the protocol of Bellemore et al. The mean time to follow-up was 18.3 months (10 to 36) and the mean time to frame removal was 13.5 weeks (8 to 20). The mean carrying angle was corrected from -18.7 degrees (-10 degrees to -30 degrees ) to 6.1 degrees (2 degrees to 10 degrees ) in patients with cubitus varus and from 36.5 degrees (25 degrees to 45 degrees ) to 9.4 degrees (4 degrees to 15 degrees ) in patients with cubitus valgus. There were 18 excellent and six good results. The Ilizarov method with gradual distraction is a safe, stable, adjustable and versatile method of treating deformities at the elbow without the problems of an unsightly scar or limited range of movement, and gives a good clinical and radiological outcome. Tardy ulnar nerve palsy should be treated first by anterior transposition.

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Osteotomy for cubitus varus:A simple technique in 10 children

Cited by 19 publications

References 17 publications

Translation Step-cut Osteotomy for the Treatment of Posttraumatic Cubitus Varus

Translation Step-cut Osteotomy for the Treatment of Posttraumatic Cubitus Varus

Supracondylar osteotomy for the treatment of cubitus varus in children

The management of cubitus varus and valgus using the Ilizarov method

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