Prospective study of cubitus varus deformity, its etiopathology, clinical study and treatment

Abstract

Background: Loss of carrying angle at elbow (Cubitus varus) remains one of the commonest complications of supracondylar fractures. Despite the numerous ways are described of treating supracondylar fractures, cubitus varus remains a significant problem. It can only be prevented by achieving and maintaining accurate reduction. Cubitus varus deformity is not a functional problem, but it may become so disfiguring that correction is indicated.Methods: A total of 10 cases of cubitus varus deformity were treated with modified French osteotomy outcome was measured with by the method of Oppenheim WL, Clader et al.Results: In this study 10 cases treated with modified French osteotomy. In the present study 70% cases were female. All the patients were in the age group of 6-13 years. The average correction of carrying angle was 5.7 0 of valgus. All the patients were having nearly normal range of motion of the affected elbow. Only one patient suffered radial nerve injury. There was no infection or hypertrophic scar or non-union. The study showed result in the form of excellent - 70%, Good - 20% and poor - 10%.Conclusions: Modified French method proved safe and satisfactory as it has improved anatomy and cosmetic results. Loss of correction of cubitus varus deformity does not occur. A proper cases selection and proper planning of osteotomy, attention to the technical details is crucial to the success of supracondylar osteotomy of the humerus for correction of cubitus varus.

Comparative study on the degree of correction and type of complication between modified French and dome supracondylar osteotomy in a tertiary care centre of West Bengal

“…A prospective study of Cubitus Varus deformity where 10 cases were treated with French osteotomy, all patients reported having normal range of motion of the affected elbow with no infections, hypertrophic scars or non-unions reported. In this case as well, modified French method proved safe and satisfactory [6].…”

“…Internal rotation deformity is compensated by movements of the shoulder and correction in both cases is focused on coronal plane deformity [6]. Surgery should be done after maximum remodeling, roughly after one year.Other causes of cubitus varus include growth disturbances, medial tilt and unreduced inward rotation.…”

Increased incidence of distal humeral fracture surgery and decreased incidence of respective corrective osteotomy among Finns aged 0 to 18 years between 1987 and 2016: A population-based study

“…15 Correction methods for a malunited distal humeral fracture involve several types of wedge osteotomy as well as external fixation. 16-19 The complication rate concerning late deformity correction is reported to be as high as 34%. 15,20…”

“…15 Correction methods for a malunited distal humeral fracture involve several types of wedge osteotomy as well as external fixation. [16][17][18][19] The complication rate concerning late deformity correction is reported to be as high as 34%. 15,20 Based on the findings of previous studies, the incidence of surgically treated distal humeral fractures has increased.…”