The management of cubitus varus and valgus using the Ilizarov method

Abstract

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.

The displaced supracondylar humerus fracture

“…Even though the overall complication rate appears similar, older children tend to have more pin tract infections [31]. Many different osteotomy techniques have been described for this case [32][33][34][35][36]. Complications such as elbow stiffness seem to be more frequently described in children above the age of 8 [31].…”

Treatment of Cubitus Varus with open Medial Wedge Osteotomy Using llizarov Technique

“…1,4,5,[7][8][9]11 The use of Ilizarov technique has been reported to have superior advantage over previously reported surgical interventions. 11,12 The llizarov technique is so versatile that it can correct multi plane deformity without any open intervention. The osteotomy is carried out though a small incision of 1 cm.…”

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“…The use of Ilizarov technique has been reported to have superior advantage over previously reported surgical interventions [11,12]. The llizarov technique is so versatile that it can correct multi plane deformity without any open intervention.…”