Trapezoidal Osteotomy for Treatment of Long-Standing Nonunion of Lateral Humeral Condyle Fracture With Cubitus Valgus Deformity

He, Bo; Zhao, Hai; Guo, Nan

doi:10.1016/j.jhsa.2022.11.017

Cited by 1 publication

(2 citation statements)

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“…There is an agreement on the indication for corrective osteotomy for cubitus valgus if it is ≥ 20 degrees. [3][4][5][6]11,16,17,22 Regarding ATUN, the classic was doing it only for patients with UND. [3][4][5]9,12,19,23 Others did not do it and reported spontaneous recovery, where they owed this improvement to the gained laxity of the ulnar nerve after doing the corrective osteotomy.…”

Section: Discussionmentioning

confidence: 99%

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Long-standing Nonunited Fracture Lateral Humeral Condyle in Children. Evaluating a Two-stage Surgical Treatment Strategy With Critical Review

Khanfour

2024

Journal of Pediatric Orthopaedics

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Objective: This work aimed to evaluate the results of using a 2-stage surgical treatment strategy without doing anterior transposition of the ulnar nerve (ATUN) for cases with long-standing nonunited fracture lateral humeral condyle (LHC) in children, accompanied by a critical review. Methods: A consecutive 12 children with a long-standing “>2 years” nonunited LHC with evident radiologic gross anatomic distortion of the elbow were included in this study. A 2-stage surgical treatment strategy was applied, wherein the first stage, open functional reduction, osteosynthesis, and iliac bone graft were done. Then after 6 months, the second stage surgery was carried out in the form of supracondylar humeral corrective osteotomy if the cubitus valgus angle was ≥20 degrees. ATUN was not done for any of the cases even with those having ulnar nerve dysfunction. Results: Union took place in 11 out of the 12 cases after a mean follow-up period of 11 weeks (range: 8 to 14 wk; SD: 1.6). All the 7 cases showed preoperative ulnar nerve dysfunction and reported clinical recovery at the end of their follow-up. Conclusions: Two-stage surgical treatment strategy without ATUN is a convenient, reproducible, and successful line of treatment for children presented with longstanding nonunited LHC with anatomically distorted elbow. Level of Evidence: Level IV—case series.

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Section: Discussionmentioning

confidence: 99%

“…There is an agreement on the indication for corrective osteotomy for cubitus valgus if it is ≥20 degrees 3–6,11,16,17,22 …”

Section: Discussionmentioning

confidence: 99%

Long-standing Nonunited Fracture Lateral Humeral Condyle in Children. Evaluating a Two-stage Surgical Treatment Strategy With Critical Review

Khanfour

2024

Journal of Pediatric Orthopaedics

View full text Add to dashboard Cite

show abstract

Trapezoidal Osteotomy for Treatment of Long-Standing Nonunion of Lateral Humeral Condyle Fracture With Cubitus Valgus Deformity

Cited by 1 publication

References 29 publications

Long-standing Nonunited Fracture Lateral Humeral Condyle in Children. Evaluating a Two-stage Surgical Treatment Strategy With Critical Review

Long-standing Nonunited Fracture Lateral Humeral Condyle in Children. Evaluating a Two-stage Surgical Treatment Strategy With Critical Review

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