Management of Cubitus Varus and Valgus

Surgical Technique: Spike Translation: A New Modification in Step-cut Osteotomy for Cubitus Varus Deformity

“…Table 2. Modified criteria of Oppenheim et al [26] as modified by Kim et al [15] Results No patient had ulnar nerve palsy and wound problems. Two patients complained of the hypertrophic scar.…”

“…On films taken of the extended upper extremity with a fully supinated forearm, the angle made at the intersection point of the longitudinal axes of the forearm and humeral shaft was measured as the HEW angle. The longitudinal axis of the forearm was determined by using the midpoints of the upper and lower transverse lines, limited to the medial and lateral cortexes of the ulna and radius, respectively [15]. To avoid any negative effects of radiographic magnifications and individual variations, we used the method of Wong et al [33] to calculate the elbow LPI.…”

“…To avoid the effect of rotation on the flexion-extension arc, the medial and lateral condyles were held on a horizontal plane [15]. According to Yamamoto et al [34], with the elbow in 90°flexion and the shoulder in hyperextension, the angle made between the forearm and back was measured as the rotational alignment.…”

“…Functional outcome was evaluated using the Persian version of the DASH score [24]. Finally, postoperative evaluation was performed according to the criteria of Oppenheim et al [26] as modified by Kim et al [15] (Table 2) for comparison with previous studies.…”

“…Modern protocols have been developed to treat these fractures using closed reduction and pin fixation with a dramatic reduction of such complications [14]. Although the malalignment rarely leads to malfunction, the appearance of the extremity frequently is unacceptable to the patient [6,14,15].…”