J Korean Orthop Assoc.  2008 Feb;43(1):17-23. 10.4055/jkoa.2008.43.1.17.

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

Affiliations
  • 1Department of Orthopedic Surgery, SungKyunKwan University School of Medicine, Seoul, Korea. jss3505@skku.edu

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.

Keyword

Cubitus varus; Lateral condylar prominence; Osteotomy
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