2008The Journal of the Korean Orthopaedic AssociationOpen access

Lateral Closing Wedge Supracondylar Osteotomy of the Humerus in Children with Cubitus Varus Deformity

Jong Sup Shim, Eunjin Sul, Haechan Ha, Chang Young Kim

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Abstract

Purpose: To evaluate the effectiveness, cosmetic and functional improvement of a supracondylar lateral closing wedge osteotomy of the humerus as a treatment for cubitus varus deformity in children.Materials and Methods: Forty-eight children with cubitus varus underwent a lateral closing wedge osteotomy, and were followed up for at least 1 year.Results: There were no complications such as a loss of correction, infection, or neurapraxia.The immediate postoperative lateral condylar prominence and secondary lazy S deformity was in proportion to the preoperative severity of the cubitus varus.However, it was lower at the last follow-up, and was related to the extent of preoperative cubitus varus, length of follow-up and age.Conclusion: A supracondylar lateral closing wedge osteotomy of humerus is an easy and effective surgical treatment for a posttraumatic cubitus varus of children.In addition, it shows good cosmetic results with good remodeling of the lateral condylar prominence of children.

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Purpose: To evaluate the effectiveness, cosmetic and functional improvement of a supracondylar lateral closing wedge osteotomy of the humerus as a treatment for cubitus varus deformity in children.Materials and Methods: Forty-eight children with cubitus varus underwent a lateral closing wedge osteotomy, and were followed up for at least 1 year.Results: There were no complications such as a loss of correction, infection, or neurapraxia.The immediate postoperative lateral condylar prominence and secondary lazy S deformity was in proportion to the preoperative severity of the cubitus varus.However, it was lower at the last follow-up, and was related to the extent of preoperative cubitus varus, length of follow-up and age.Conclusion: A supracondylar lateral closing wedge osteotomy of humerus is an easy and effective surgical treatment for a posttraumatic cubitus varus of children.In addition, it shows good cosmetic results with good remodeling of the lateral condylar prominence of children.

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Available abstract

Purpose: To evaluate the effectiveness, cosmetic and functional improvement of a supracondylar lateral closing wedge osteotomy of the humerus as a treatment for cubitus varus deformity in children.Materials and Methods: Forty-eight children with cubitus varus underwent a lateral closing wedge osteotomy, and were followed up for at least 1 year.Results: There were no complications such as a loss of correction, infection, or neurapraxia.The immediate postoperative lateral condylar prominence and secondary lazy S deformity was in proportion to the preoperative severity of the cubitus varus.However, it was lower at the last follow-up, and was related to the extent of preoperative cubitus varus, length of follow-up and age.Conclusion: A supracondylar lateral closing wedge osteotomy of humerus is an easy and effective surgical treatment for a posttraumatic cubitus varus of children.In addition, it shows good cosmetic results with good remodeling of the lateral condylar prominence of children.

Key concepts: Cubitus varus, Humerus, Osteotomy, Deformity, Condyle, Medicine, Varus deformity, Surgery

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Lateral Closing Wedge Supracondylar Osteotomy of the Humerus in Children with Cubitus Varus Deformity — Research Paper | ScholarLens