Corrective Dome Osteotomy Using the Paratricipital (Triceps-sparing) Approach for Cubitus Varus Deformity in Children

Banerjee, Samik; Sabui, Kanchan Kumar; Mondal, Jayati; Raj, Sundeep Jeten; Pal, Dilip Kumar

doi:10.1097/bpo.0b013e318255e309

Cited by 25 publications

(14 citation statements)

References 20 publications

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“…Even though the overall complication rate appears similar, older children tend to have more pin tract infections [31]. Many different osteotomy techniques have been described for this case [32][33][34][35][36]. Complications such as elbow stiffness seem to be more frequently described in children above the age of 8 [31].…”

Section: Key Pointsmentioning

confidence: 94%

The displaced supracondylar humerus fracture

Ladenhauf

Schaffert

Bauer

2014

Current Opinion in Pediatrics

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Section: Key Pointsmentioning

confidence: 94%

The displaced supracondylar humerus fracture

Ladenhauf

Schaffert

Bauer

2014

Current Opinion in Pediatrics

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“…The residual prominence of the lateral condyle and loss of elbow rotation is avoided. 8,14,15 Although, dome osteotomy has been described by Tachdjian in 1972, however, there is not enough clinical evidence available. Considering the advantages of dome osteotomy, we did a study and evaluated the results of dome osteotomy.…”

Section: Introductionmentioning

confidence: 99%

Clinical Outcome of Dome Osteotomy in Cubitus Varus

Kumar¹

2014

MOJOR

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Introduction: Cubitus varus (Gunstock deformity), is the most common long term complication of childhood supracondylar fracture of the humerus. For correction of cubitus varus deformity many types of osteotomies and fixations methods have been described. The most commonly used is the Lateral closing wedge osteotomy, which provides good results but results in two fragments of unequal width for bony union and the lateral condyle becomes prominent leading to Lateral condyle prominence, an another cosmetic deformity. To overcome this problem, Dome osteotomy was done. Material and methods: This prospective study included 15 cases of cubitus varus deformity of elbow over a period of 18 months. Mean age of the cases was 9.07±3.07 years. Dome osteotomy with paratriceps approach was used. Pre and post-operative carrying angle of elbow, range of motion and lateral prominence indices were compared. Results: The mean follow-up period was 13.33±1.84 months. Mean time between injury and surgery was 16.53±4.10 months. There was significant improvement in carrying angle and lateral condylar prominence indices. Two of the cases developed transient ulnar nerve neuropraxia and one patient had superficial skin infection. Conclusion: Dome osteotomy is relatively technically demanding technique for correction of cubitus varus deformity but with better functional outcome without associated with lateral condyle prominence.

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“…Distal humeral osteotomy is used to correct this deformity and to avoid later complications, such as ulnar nerve palsy [1,2], posterolateral rotatory instability [3,4], secondary distal humeral fracture [5,6], internal rotational malalignment, posterior shoulder instability with a Bankart lesion [7] and poor cosmesis [1][2][3][4][5][6][7][8][9]. A variety of osteotomies have been described with variable success and variable complication rates, including lateral closing-wedge, medial opening-wedge [8], dome [4,7,10,11], pentalateral [9,12], three-dimensional [13,14], and step-cut osteotomies [2]. Options for osteotomy stabilisation have included casting alone, internal fixation, and K-wire fixation with casting.…”

Section: Introductionmentioning

confidence: 99%