J Korean Fract Soc.  2003 Jul;16(3):370-378. 10.12671/jksf.2003.16.3.370.

The Lateral Closing Osteotomy using Threaded Steinmann Pin for the Cubitus Varus Deformity Followed by Supracondylar Fracture around the Elbow

Affiliations
  • 1Department of Orthopedic Surgery, Seoul Sacred Heart General Hospital, Seoul, Korea. hapy8845@hitel.net

Abstract

PURPOSE: To investigate the usefulness of closing wedge osteotomy with threaded steinmann pin and wiring for the treatment of cubitus varus deformity after elbow fracture during childhood.
MATERIALS AND METHODS
From February 1994 to February 2002. We performed closing wedge osteotomy with threaded steinmann pin and wiring in 16 elbows with cubitus varus deformity. There are 11 men and 5 women. Mean age was 21.6 years and mean follow-up was 19.2 months. Mean deformed carrying angle was varus 21.7 degree. Mean period from initial injury to treatment was 16.5 years.
RESULTS
Mean angle that was corrected by above operation methods was valgus 12 degree. Average periods of immobilization was 27.8 days. One tardy ulnar nerve syndrome before surgery was solved at 8 weeks after operation. 2 cases with superficial infection was treated easily. 14 cases of all were estimated as good with Oppenheim's criteria.
CONCLUSION
Closing wedge osteotomy with threaded steinmann pin and wiring makes early range of motion exercise being possible as rigid fixation. The supracondylar closing wedge osteotomy with threaded Steinmann pin and wiring is thought to be the useful method.

Keyword

Cubitus varus; Osteotomy; Lateral closing osteotomy; Threaded steinmann pin
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