J Korean Fract Soc.  2004 Jul;17(3):287-294. 10.12671/jkfs.2004.17.3.287.

Modified Step-cut Osteotomy of Distal Humerus for the Correction of Cubitus Varus Deformity in Children

Affiliations
  • 1Department of Orthopaedic Surgery, MokDong Hospital, College of Medicine, Ewha Womans University, Seoul, Korea. yhyun@ewha.ac.kr

Abstract

PURPOSE: evaluate the radiologic and clinical results of modified step-cut osteotomy for correction of cubitus varus deformity in children.
MATERIALS AND METHODS
We analysed 16 children who had varus deformity preoperatively and received modified step-cut osteotomy. The results were evaluated by final follow-up radiographs and clinical results, which were humeral-elbow-wrist angle, lateral prominence, range of motion and complications.
RESULTS
The average preoperative humeral-elbow-wrist (HEW) angle was -15.8degrees and average last follow-up HEW angle was +6.7degrees Lateral prominence under 5 mm occurred in 3 cases and one children showed limited motion and transient ulna neuropathy.
CONCLUSION
The results demonstrate that modified step-cut osteotomy achieve good correction of cubitus varus without lateral bony prominence or complications.

Keyword

Distal humerus; Cubitus varus; Children; Modified step-cut osteotomy

MeSH Terms

Child*
Congenital Abnormalities*
Follow-Up Studies
Humans
Humerus*
Osteotomy*
Range of Motion, Articular
Ulna
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