Correction of Cubitus Varus After Pediatric Supracondylar Elbow Fracture: Alternative Method Using the Taylor Spatial Frame

Belthur, Mohan V.; Iobst, Christopher; Bor, Noam; Segev, Eitan; Eidelman, Mark; Standard, Shawn C.; Herzenberg, John E.

doi:10.1097/bpo.0000000000000500

Cited by 26 publications

(25 citation statements)

References 41 publications

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“…Humeral deformity and shortening have both functional and esthetic implications leading to surgical intervention [22]. Different types of external fixators have been used for humeral lengthening and deformity correction and reported in the literature [6,14,30]. Successful outcomes after humeral lengthening have been reported using Ilizarov circular frames, monolateral fixators, and the hexapod Taylor Spatial Frame (TSF) [2,23,29,37].…”

Section: Introductionmentioning

confidence: 99%

Humeral Lengthening with the PRECICE Magnetic Lengthening Nail

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Section: Introductionmentioning

confidence: 99%

Humeral Lengthening with the PRECICE Magnetic Lengthening Nail

et al. 2017

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“…If forearm radiological landmarks are not clear on the radiographs, then distal humeral joint line angle can be used. Humeroulnar angle (HUA) has also been used in some studies 16 to assess the cubitus varus angle. However, it may not be the true measurement of cubitus varus as the proximal ulna varus can develop in young children with this deformity,.…”

Section: Imagingmentioning

confidence: 99%

Not Kidding! Sequalae of elbow trauma in children

Lahoti¹,

Akilapa²

2021

Journal of Clinical Orthopaedics and Trauma

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Elbow injuries are common in children and while majority heal very well, some result in deformities of the elbow. Although deformities such as cubitus varus and non-progressive cubitus valgus are considered cosmetic by the paediatric orthopaedic surgeons and intentionally ignored, they are not always benign and can result in functional deficit due to instability, pain, tardy nerve palsies and osteoarthritis later in life. Similarly congenital and developmental conditions that do not cause major functional loss in childhood, become very disabling in adults due to increasing functional demands. Congenital radial head dislocation and radioulnar synostosis fall into this category. In this paper we discuss clinical presentation, treatment options and outcomes of common elbow conditions presenting later in the life.

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“…In previous studies, K-wires, steel plates, or external fixators were used to fix the osteotomy site. [20,21] We used K-wires for fixation. The approach is simple to perform, and the cost is low.…”

Section: Discussionmentioning

confidence: 99%

Application of computer simulation in the treatment of traumatic cubitus varus deformity in children

Jiang

2019

Medicine

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Cubitus varus deformity is common in children. The purpose of this study was to assess the usefulness of computer simulation based on three-dimensional computed tomography (3D-CT) reconstruction with regard to preoperative planning and surgical treatment in children with traumatic cubitus varus deformity.The study included 13 patients with traumatic cubitus varus deformity between January 2012 and January 2015. The original 3D-CT data were transferred to Mimics 10.01 software. Special tools were used for simulation of supracondylar lateral wedge osteotomy of the humerus. Intraoperative elbow arthrography was used to identify the articular surface of the elbow joint for assisting the judgment of the osteotomy site. Kirschner wires were used to determine the osteotomy plane and angle. The osteotomy site was fixed by crossing Kirschner wires and steel wire tension band.Of the 13 patients, 11 were male and 2 were female. The left side was affected in 8 patients, and the right side was affected in 5 patients. The patient age ranged from 2 years to 14 years (mean age, 6 years and 7 months). The varus angle ranged from 12° to 35° (mean angle, 20°). The carrying angle on the contralateral side ranged from 5° to 18° (mean angle, 10°). The varus deformities showed good correction. The 13 patients were followed up for 24 to 60 months (mean follow-up, 38 months). According to the Flynn score of elbow joint function after surgery: 10 patients had excellent function, 2 had good function, and 1 had fair function. The excellent rate was 92.3%. At the final follow-up, the ipsilateral carrying angle ranged from 4° to 15° (mean angle, 11°).Computer simulation based on 3D-CT reconstruction can provide good information on the right humeral osteotomy position and osteotomy angle. It can guide the actual operation and provide better results after surgery. Intraoperative elbow arthrography is useful to determine the level of elbow joint osteotomy, and it can assist in the operation.Level of evidence: Level IV-retrospective case, treatment study.

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Correction of Cubitus Varus After Pediatric Supracondylar Elbow Fracture: Alternative Method Using the Taylor Spatial Frame

Abstract: Level IV.

Cited by 26 publications

References 41 publications

Humeral Lengthening with the PRECICE Magnetic Lengthening Nail

Humeral Lengthening with the PRECICE Magnetic Lengthening Nail

Not Kidding! Sequalae of elbow trauma in children

Application of computer simulation in the treatment of traumatic cubitus varus deformity in children

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