Reverse V osteotomy of the distal humerus for the correction of cubitus varus

Yun, Yeo-Hon; Shin, Sang Jin; Moon, Jun Gyu

doi:10.1302/0301-620x.89b4.18509

Cited by 38 publications

(28 citation statements)

References 23 publications

(90 reference statements)

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“…Cross K-wire and wiring (from lateral side) or Y-plating further multitudes its stability of construct. 13 Based on this osteotomy, Yun and Shin in their study found excellent outcome in 91% and good results in 9% cases. In another study of Oner et al, they also showed 78% excellent and 22% good results by using reverse V osteotomy for correcting childhood cubitus varus.…”

Section: Discussionmentioning

confidence: 85%

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

Mishra

Verma

Dwivedi

et al. 2016

Journal of Clinical Orthopaedics and Trauma

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Section: Discussionmentioning

confidence: 85%

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

Mishra

Verma

Dwivedi

et al. 2016

Journal of Clinical Orthopaedics and Trauma

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“…Postoperative AP and lateral radiographs 4 months following surgery 2007 using a similar osteotomy, which had generally excellent results and two complications. One patient had an undisplaced fracture intraoperatively that healed satisfactorily, and another patient had a tardy ulnar nerve palsy [35]. The interlocking Wiltse-type technique provides intrinsic stability that allows secure fixation with pins alone, and leaves the patient with no hardware after the pins are removed.…”

Section: Discussionmentioning

confidence: 99%

A new surgical technique for the treatment of supracondylar humerus fracture malunions in children

Skaggs

Glassman

Weiss

et al. 2011

Journal of Children's Orthopaedics

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Purpose To report a new locking lateral closing wedge osteotomy used in repairing pediatric supracondylar humerus fracture malunions, which allows for coronal and sagittal plane correction of both cubitus varus and extension. Methods At our institution, eight children with cubitus varus resulting from prior supracondylar humerus fracture malunions underwent a new technique of lateral closing wedge osteotomy performed by a single surgeon. Preoperative templating created from radiographs of the bilateral upper extremities were compared with clinical exam to determine the angle of triangular bone that must be removed in order to correct the varus and any extension deformity. A lateral approach and subperiosteal dissection exposed the distal humerus. A transverse osteotomy created a proximal and distal fragment, from which two triangles of bone were removed. The fragments were reunited, parallel lateral pins were placed, and live imaging confirmed stable fixation. Results The osteotomy was performed in eight patients, with an average age of 6.3 years. The mean interval between the initial injury and corrective osteotomy was 2.4 years. All patients ended up with flexion of 130°or greater with full and symmetrical pronation and supination. The average ulnohumeral angular correction was 25.5°, which was within 2°of the uninvolved elbow in seven patients and to within 5°in one patient. Baumann's angle averaged 85.3°preoperatively and 73.7°postoperatively, with an average 70.2°in the uninvolved elbow. All of the patients healed with excellent clinical and radiographic alignment and complete function. There were no complications or revisions. Conclusion Varus malunion is a well-described complication of pediatric supracondylar humerus fracture repairs, and many different osteotomy techniques have been described. This series demonstrates that an interlocking lateral wedge osteotomy with parallel lateral pin fixation can provide reliable correction of varus and extension deformity, with a minimal complication rate.

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“…Some authors reported that dome osteotomy and step-cut osteotomy, which avoid lateral condylar prominence, produced satisfactory results. [24][25][26][27][28] However, lateral closing wedge osteotomy of the humerus is an efficient technique to correct cubitus varus, 29,30 which does not cause lateral condylar or scar prominence, and produces excellent results. 2,31 Almost all the authors used internal and external fixation after using this technique, but the plate position was seldom discussed.…”

Section: Discussionmentioning

confidence: 99%

Impacto do posicionamento da placa na osteotomia em cunha de fechamento lateral em cúbito varo

Wang

et al. 2011

Acta ortop. bras.

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Objective: To study the effects of low intensity ultrasound irradiation applied on the spinal cord, in the regeneration of the rat's sciatic nerve after a controlled crush injury, evaluating the functional results of the sciatic functional index as measured on video recorded images of the foot sole. Methods: Eighteen rats were submitted to a controlled crush injury of the right sciatic nerve, and divided into two groups according to the treatment: Group 1 (n=9), simulated irradiation; Group 2 (n=9), effective irradiation. Low-intensity ultrasound irradiation was started on the 7th postoperative day and applied daily for 6 weeks. Images of the animals´ foot soles were video recorded on a transparenttreadmill belt at weekly intervals until the 6th week of irradiation, and the corresponding sciatic functional index (SFI) was measured usingspecific software. Results: The SFI during the first and last week of treatment was -59.12 and -12.55 in Group 1, -53.31 and -1.32 in Group 2, indicating improvements of 79% and 97%, respectively, but differences between the groups were only significant (p<0.05) during the third week of treatment. Conclusion: The authors conclude that low intensity therapeutic ultrasound enhances nerve regeneration, with significance during the 3rd week of treatment. Level of Evidence: Level II, prospective comparative study.

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Reverse V osteotomy of the distal humerus for the correction of cubitus varus

Cited by 38 publications

References 23 publications

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

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

A new surgical technique for the treatment of supracondylar humerus fracture malunions in children

Impacto do posicionamento da placa na osteotomia em cunha de fechamento lateral em cúbito varo

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