Reverse V osteotomy and treatment of cubitus varus deformity – Results and experience

Mishra, Pankaj Kumar; Verma, Ajay Kumar; Dwivedi, Rishi; Singh, Satya Prakash; Gaur, Sonia

doi:10.1016/j.jcot.2016.11.002

Cited by 7 publications

(8 citation statements)

References 14 publications

(10 reference statements)

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“…The various surgical techniques are well-described in three major features: approach of the elbow, configuration of osteotomy, and fixation technique [ [12] , [13] , [14] , [15] ]. Approach of the elbow: Lateral [ 12 , 13 , [15] , [16] , [17] ], posterolateral [ 10 , 18 ], posterior (triceps splitting) [ 3 , [19] , [20] , [21] ], and posterior approach with Chevron's osteotomy [ 19 ]. The configuration of osteotomy was described by many literatures, that bear various names on its techniques: French [ 5 , 22 , 23 ], Dome-shaped [ 10 , 19 , 21 , 24 ], Pentalateral [ 16 ], translation step cut [ 3 ], modified step cut [ 2 ], triple modified French [ 12 ], reverse V [ 20 ], dual planar [ 25 ], and multiplanar [ 17 ], lateral closing isosceles triangular [ 15 ], three-dimensional printing assisted [ 26 ], and oblique lateral closing-wedge [ 13 ].…”

Section: Literature Review and Discussionmentioning

confidence: 99%

“…The comparison of these surgical techniques is often described equally, reporting similar good results with several advantages and disadvantages [ 4 , 17 ]. Fixation technique: Cortical screw then tension band wire [ 5 , 12 , 18 ], K-Wire only [ 2 , 10 , 13 , 18 , 21 , 24 , 27 ], single Y plate [ 3 , 20 ], K-wire then lag screw parallel [ 16 ], buried smooth K-wire [ 25 ], two lateral K-wire [ 15 ], and 3D printing osteotomy guide plate [ 26 ]. …”

Section: Literature Review and Discussionmentioning

confidence: 99%

“…Approach of the elbow: Lateral [ 12 , 13 , [15] , [16] , [17] ], posterolateral [ 10 , 18 ], posterior (triceps splitting) [ 3 , [19] , [20] , [21] ], and posterior approach with Chevron's osteotomy [ 19 ].…”

Section: Literature Review and Discussionmentioning

confidence: 99%

“…The configuration of osteotomy was described by many literatures, that bear various names on its techniques: French [ 5 , 22 , 23 ], Dome-shaped [ 10 , 19 , 21 , 24 ], Pentalateral [ 16 ], translation step cut [ 3 ], modified step cut [ 2 ], triple modified French [ 12 ], reverse V [ 20 ], dual planar [ 25 ], and multiplanar [ 17 ], lateral closing isosceles triangular [ 15 ], three-dimensional printing assisted [ 26 ], and oblique lateral closing-wedge [ 13 ]. They mostly provide similar advantages but with different outcome evaluations.…”

Section: Literature Review and Discussionmentioning

confidence: 99%

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The lateral curved osteotomy for cubitus varus deformity in children: A case report and literature review

Solichin

Sandjaya

Prabowo

et al. 2021

Annals of Medicine &Amp; Surgery

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Introduction Cubitus varus deformity after malunited supracondylar humerus fracture has various surgical techniques, implant configurations, and approaches. We describe a combination of French and Dome osteotomy and novel internal fixation technique to deliver an easy, safe, fast and reproducible result based on the current best evidence. Presentation of case Two cases of malunited supracondylar humerus are described. The first case involves a 3-year-old girl who presented with outstretched and supinated left arm after falling during bike riding 3 weeks earlier. We found no abnormality in radial and median nerve function, but the left arm radiographs showed a callus formation and the early stages of a malunited fracture of the supracondylar humerus. We waited two months for further radiographic evaluation and the radiographs showed the malunited supracondylar humerus with elbow flexion of only 105° and elbow hyperextension of 20°. The cubitus varus was recorded with clinical carrying angle of varus 10°. We used a combination of original French and Dome osteotomy, lateral approach, and our novel fixation technique with excellent results. The second case involved a 8-year-old boy with malunited right elbow and the surgery was done in the same manner, with the result of restoration to normal elbow range of motion. We also assessed the pain score and disabilities of the arm, shoulder and hand (DASH) score and recorded satisfactory results. Conclusions The combination of French and Dome osteotomy for treatment of cubitus varus deformity can provide an easy, safe, and reproducible result.

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Section: Literature Review and Discussionmentioning

confidence: 99%

Section: Literature Review and Discussionmentioning

confidence: 99%

Section: Literature Review and Discussionmentioning

confidence: 99%

Section: Literature Review and Discussionmentioning

confidence: 99%

See 2 more Smart Citations

The lateral curved osteotomy for cubitus varus deformity in children: A case report and literature review

Solichin

Sandjaya

Prabowo

et al. 2021

Annals of Medicine &Amp; Surgery

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show abstract

“…There are various techniques for performing supracondylar osteotomy, including lateral closing-wedge osteotomy, [4,5] medial opening-wedge osteotomy, [6] dome osteotomy, [7] and reverse V osteotomy. [8,9] However, performing osteotomy with an accurate angle is a challenge. 3D-CT reconstruction could be used to simulate the direction of osteotomy and the angle of osteotomy.…”

Section: Introductionmentioning

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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Step-cut osteotomy for cubitus varus deformity with application of patient-specific instrument in children: a preliminary report

Yan,

Tan,

Tan

et al. 2024

International Orthopaedics (SICOT)

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Reverse V osteotomy and treatment of cubitus varus deformity – Results and experience

Cited by 7 publications

References 14 publications

The lateral curved osteotomy for cubitus varus deformity in children: A case report and literature review

The lateral curved osteotomy for cubitus varus deformity in children: A case report and literature review

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

Step-cut osteotomy for cubitus varus deformity with application of patient-specific instrument in children: a preliminary report

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