Supracondylar osteotomy of the humerus for correction of cubitus varus

Bellemore, Michael; Barrett, Ian R.; Middleton, R. W. D.; Scougall, J. S.; Whiteway, D. W.

doi:10.1302/0301-620x.66b4.6746695

Cited by 134 publications

(124 citation statements)

References 4 publications

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“…Most series report experience in older children aged 10-1 4 years (Carlson and Rosman 1982, McCoy and Piggot 1988, Laupattarakasem et al 1989, Gaddy et al 1994. Some authors recommend early correction during childhood which improves remodeling of an extension deformity and a lateral prominence (Bellemore et al 1984, Wong et al 1990, Voss et al 1994. When corrective osteotomy is performed in small children, Voss et al (1994) has recommended a lateral closing wedge osteotomy.…”

Section: Discussionmentioning

confidence: 99%

“…Case 1. Preoperative deformity and healing of the osteotomy after 2 months Several techniques for stabilizing the osteotomy have been reported, including the K-wire (Sweeney 1975, Oppenheim et al 1984, K-wire and screw (Laupattarakasem et al 1989), screws and wire loop (French 1959, Bellemore et al 1984, McCoy and Piggot 1988, plate and screws (Hernandez and Roach 1994) and staples (Carlson andRosman 1982, Danielsson et al 1991). However, most of these techniques are not applicable to a very distal osteotomy with a very small distal osteotomy fragment.…”

Section: Discussionmentioning

confidence: 99%

“…These include simple lateral closing wedge osteotomy (French 1959, Carlson and Rosman 1982, Bellemore et al 1984, Oppenheim et al 1984, Danielsson et al 1991, Gaddy et al 1994, Hernandez and Roach 1994, step-cut osteotomy (DeRosa andGraziano 1988, Laupattarakasem andMahaisavariya 1989), dome osteotomy (Kanaujia et al 1988) and multiplanar osteotomy (Uchida et al 1991). We report a simplified technique used in 10 children.…”

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confidence: 99%

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Osteotomy for cubitus varus:A simple technique in 10 children

Mahaisavariya

Laupattarakasem

1996

Acta Orthopaedica Scandinavica

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Osteotomy for cubitus varus:A simple technique in 10 children

Mahaisavariya

Laupattarakasem

1996

Acta Orthopaedica Scandinavica

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“…Some authors have described corrective osteotomies for cubitus varus. The main methods include the closingwedge [9,32], dome [1,20,23], simple step-cut [7], stepcut translation [6,15], lateral invaginating peg [2], and three-dimensional [4] osteotomies. The translation step-cut osteotomy described by Davids et al [6] is similar to our osteotomy, but for avoidance of lateral prominence, it removes a rectangular segment rather than a triangle.…”

Section: Discussionmentioning

confidence: 99%

Surgical Technique: Spike Translation: A New Modification in Step-cut Osteotomy for Cubitus Varus Deformity

Moradi

Vahedi

Ebrahimzadeh

2013

Clinical Orthopaedics &Amp; Related Research

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Background Various methods of osteotomy have been proposed for the treatment of cubitus varus. We designed a modification of the step-cut osteotomy to achieve more correction of the deformity. We describe this new technique called spike translation step-cut osteotomy and report the clinical and radiographic outcomes (deformity correction, ROM, function, osteotomy healing, complications) in a series of patients treated for cubitus varus using this technique. Description of TechniqueThe technique involves a kind of closing-wedge osteotomy with a lateral spike to correct cubitus varus. To avoid lateral epicondyle prominence, the spike is translated medially and embedded in the proximal segment. Methods We treated 13 patients with cubitus varus using the new technique between 2005 and 2010. We compared preoperative and postoperative clinical and radiographic parameters (humerus-elbow-wrist angle, lateral prominence index, arc of elbow motion, DASH score) for all patients. Time to union was recorded. Postoperative evaluation was performed according to the modified criteria of Oppenheim et al. Minimum followup was 16 months (average, 27 months; range, 16-43 months). ResultsThe average humerus-elbow-wrist angle improved from À26°to 11°. The mean lateral prominence index did not differ after correction of deformity compared with the normal side. By using our rehabilitation protocol, all patients regained preoperative arcs of elbow motion in a mean of 2.5 months (range, 1.50-3.50 months) postoperatively, and the mean union time was 1.65 months. According to the criteria of Oppenheim et al., there were 11 excellent and two good results. Conclusions Our spike translation step-cut osteotomy with a larger contact surface of cancellous bone can be a reasonable alternative for correction of a cubitus varus deformity, with satisfactory deformity correction, reliable healing of osteotomy, and low complication rates. Level of Evidence Level IV, therapeutic study. See Instructions for Authors for a complete description of levels of evidence.

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“…Surgeons have proposed various surgical techniques for correction of the deformity including lateral closing wedge osteotomy [1,3], medial open wedge osteotomy [11], dome osteotomy [8,20,25], pentalateral osteotomy [14], three-dimensional osetotomy [2,26], and step-cut translational osteotomy [10]. These techniques have emphasized primarily the osteotomy method that can correct three-dimensional deformity and reduce prominence of the lateral condyle.…”

Section: Introductionmentioning

confidence: 99%

Oblique Closing Wedge Osteotomy and Lateral Plating for Cubitus Varus in Adults

Gong

Chung

et al. 2008

Clinical Orthopaedics &Amp; Related Research

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Corrective osteotomy around the elbow can require longer recovery time in adults than in children because of the longer healing period and the propensity for stiffness. We hypothesized a lateral oblique closing wedge osteotomy with a larger contact area and fixation with a lag screw plus early motion would provide stable fixation and early motion recovery in adults with cubitus varus deformity. Twelve consecutive patients who needed surgery were treated using this procedure. They were allowed active motion exercises 1 week postoperatively. The age of the patients at the time of surgery averaged 39 years (range, 31-48 years). The minimum followup was 15 months. All patients achieved healing of the osteotomy, and regained preoperative arcs of elbow motion at a mean of 7.3 weeks (range, 2-12 weeks) postoperatively. The average humerus-elbow-wrist angle improved from -23.3°t o 8°(p \ 0.002) by a mean gain of 29.6°. The mean lateral prominence index did not increase postoperatively. The final MEPI and DASH score averaged 95.4 points and 5.5 points. No patient experienced nerve palsy. Oblique osteotomy and fixation with a lag screw and lateral plating is a reasonable alternative technique for cubitus varus in adults, with early recovery of elbow motion and satisfactory deformity correction.

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Supracondylar osteotomy of the humerus for correction of cubitus varus

Cited by 134 publications

References 4 publications

Osteotomy for cubitus varus:A simple technique in 10 children

Osteotomy for cubitus varus:A simple technique in 10 children

Surgical Technique: Spike Translation: A New Modification in Step-cut Osteotomy for Cubitus Varus Deformity

Oblique Closing Wedge Osteotomy and Lateral Plating for Cubitus Varus in Adults

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