Lateral Closing Wedge Supracondylar Osteotomy of the Humerus in Children with Cubitus Varus Deformity
Jong Sup Shim, Eunjin Sul, Haechan Ha, Chang Young Kim
Abstract
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Jong Sup Shim, Eunjin Sul, Haechan Ha, Chang Young Kim
Abstract
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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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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