Liu Zhu,Li Hai,Fan Qing,et al.Outcomes of supracondylar lateral closing wedge osteotomy plus locking plate fixation for posttraumatic cubitus varus in children.[J].Journal of Clinical Pediatric Surgery,,17():758-762.
Outcomes of supracondylar lateral closing wedge osteotomy plus locking plate fixation for posttraumatic cubitus varus in children.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 10
Page:
758-762
Column:
论著
Date of publication:
2018-10-25
- Keywords:
- Cubitus Varus; Supracondylar Osteotomy; Treatment Outcome; Child
- Document code:
- A
- Abstract:
- ObjectiveTo evaluate the radiographic and clinical outcomes of supracondylar lateral closing wedge osteotomy with locking angular plate for posttraumatic cubitus varus in children.MethodsRetrospective reviews were conducted for 28 children undergoing supracondylar lateral closingwedge osteotomy for cubitus varus deformity between 2012 and 2014.There were 23 boys and 5 girls with a mean age of 7.5 (2-12) years.The sideness was left (n=19) and right (n=9).The parameters of carrying angle,Baumann angle,lateral condylar prominence index (LCPI) and range of motion of elbow in flexion and extension (rom) were measured at preoperation and the last followup.ResultsThe mean followup period was 30 (24-48) months.The average preoperative value of carrying angle,Baumann angle and LCPI was（-16.81±12.44）° and （9.0±5.44）° and （23.7±6.87）% respectively.At the final followup,mean carrying angle,Baumann angle and LCPI of affected elbow were （9.2±3.58）°,（20±4.65）°and （15.23±3.01）% respectively.Mean carrying angle and mean Baumann angle were significantly corrected (P<0.05).Mean LCPI significantly decreased from 23.7% to 15.23% and mean ROM of elbow in flexion increased from 102.14° to 131.61° respectively (P<0.001).Mean time to remove plate was 8.32 (5-14) months.Only one case had an overflexion of elbow with 5°.There was no onset of myositis ossificans,vascular damage,infection or refracture.ConclusionSupracondylar lateral closing wedge osteotomy with locking angular plate is reliable,effective and safe for correcting varus deformity in children with lower complication rate.
Last Update:
2018-10-24