Economic Burden and Practical Considerations

Mora, Redento; Pedrotti, Luisella; Maccabruni, Anna; Bertani, Barbara; Tuvo, Gabriella

doi:10.1007/978-3-030-40667-7_15

Cited by 1 publication

(1 citation statement)

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“…A disadvantage to a computer-assisted hexapod external fixator for the treatment of elbow malunion when comparing with acute correction and internal fixation includes higher expense 27-29 . The cost gap potentially shrinks when including the increased postoperative therapy visits as well as the higher complication rate and need for revision seen in traditional methods 18,30 .…”

Section: Discussionmentioning

confidence: 99%

Correction of Cubitus Varus Using Computer-Assisted Hexapod Multiplanar External Fixators

Klahs

Polmear

Transtrum

et al. 2023

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Case: Three male patients, 8-, 13-, and 18-year-old, all developed posttraumatic cubitus varus elbow deformity after distal humerus supracondylar fractures. Each underwent a distal humerus osteotomy with application of a hexapod external fixator to gradually correct the deformity. Conclusion:In patients with cubitus varus malunion, the stability of the hexapod external fixation, percutaneous nature of the osteotomy, and availability of running a residual computer-assisted program provides a consistent technique for deformity correction. E lbow fractures are common in pediatric patients and can present in a wide spectrum of severity [1][2][3][4] . Cubitus varus deformity is the most common late complication resulting from supracondylar fractures with an incidence of 3% to 57% [5][6][7][8] . The etiology of the deformity is primarily malunion of the distal humerus, in addition to physeal growth disturbances and osteonecrosis 9 . The deformity predisposes to posterolateral rotary instability, ulnar neuropathy, snapping triceps, loss of elbow range of motion, and elbow pain; hence, some authors advocate for intervention to correct this deformity 9-12 . Fig. 1 Case 1. Fig. 1-A Anteroposterior elbow radiograph of injury. Fig. 1-B Lateral elbow radiograph of the injury. Fig. 1-C Status post open reduction and internal fixation anteroposterior elbow radiograph. Fig. 1-D Status post open reduction and internal fixation lateral elbow radiograph. Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/ C13).

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Section: Discussionmentioning

confidence: 99%