The lateral condylar prominence. A complication of supracondylar osteotomy for cubitus varus

Wong, Hee Kit; Lee, Eunjoo H.; Balasubramaniam, P.

doi:10.1302/0301-620x.72b5.2211772

Cited by 73 publications

(66 citation statements)

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“…Most series report experience in older children aged 10-1 4 years (Carlson and Rosman 1982, McCoy and Piggot 1988, Laupattarakasem et al 1989, Gaddy et al 1994. Some authors recommend early correction during childhood which improves remodeling of an extension deformity and a lateral prominence (Bellemore et al 1984, Wong et al 1990, Voss et al 1994. When corrective osteotomy is performed in small children, Voss et al (1994) has recommended a lateral closing wedge osteotomy.…”

Section: Discussionmentioning

confidence: 99%

Osteotomy for cubitus varus:A simple technique in 10 children

Mahaisavariya

Laupattarakasem

1996

Acta Orthopaedica Scandinavica

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Section: Discussionmentioning

confidence: 99%

Osteotomy for cubitus varus:A simple technique in 10 children

Mahaisavariya

Laupattarakasem

1996

Acta Orthopaedica Scandinavica

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“…The lateral prominence index (LPI) was measured on pre-and postoperative anteroposterior radiographs. 20) LPI was defined as the difference between the medial and lateral widths of the distal part of the humerus, from the longitudinal mid-humeral axis, and it was expressed as a percentage of the total width of the distal part of the humerus (Fig. 1B).…”

Section: Methodsmentioning

confidence: 99%

Clinical Results of Supracondylar Dome Osteotomy for Cubitus Varus and Valgus Deformities in Adults

Gwark¹,

Im²,

Park³

2016

Clinics in Shoulder and Elbow

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Background: Cubitus varus and cubitus valgus deformities are common complications of distal humeral fractures in children. We evaluated the usefulness of supracondylar dome osteotomy as a treatment option for adults with cubitus varus or valgus deformity developed during childhood. Methods: Ten patients who had received supracondylar dome osteotomy and stabilization with plates to treat cubitus varus or valgus deformity between July 2006 and August 2013 were included in this study. Their mean age at the time of surgery was 36.50 ± 10.22 years. The mean follow-up duration was 54.80 ± 32.50 months. We evaluated humerus-elbow-wrist angles (HEWA), improvements in the lateral prominence index (LPI) or medial prominence index (MPI), Mayo elbow performance scores (MEPS), and overall results in accordance with the Banerjee criteria. Results: For the six patients with cubitus varus, the mean postoperative HEWA, mean correction angle, and mean improvement in LPI were 9.72° ± 3.95°, 27.67° ± 10.75°, and 6.92% ± 3.40%, respectively. For the four patients with cubitus valgus, the mean postoperative HEWA, mean correction angle, and mean improvement in MPI were 14.73° ± 2.97°, 11.55° ± 3.26°, and 11.33% ± 6.39%, respectively. There was no significant difference between postoperative and preoperative mean MEPS. The subjective ulnar nerve symptoms were alleviated in all patients. The overall results were excellent in six and good in four patients. Conclusions: This study suggests that supracondylar dome osteotomy with secure fixation using double plates may be useful in correcting cubitus varus or cubitus valgus deformity, yielding good functional outcomes in adults. (Clin Shoulder Elbow 2016;19(4):229-236)

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“…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. In this method, the humeral longitudinal axis divides the transepicondylar line into lateral and medial parts.…”

Section: Methodsmentioning

confidence: 99%

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

Moradi

Vahedi

Ebrahimzadeh

2013

Clinical Orthopaedics &Amp; Related Research

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Background Various methods of osteotomy have been proposed for the treatment of cubitus varus. We designed a modification of the step-cut osteotomy to achieve more correction of the deformity. We describe this new technique called spike translation step-cut osteotomy and report the clinical and radiographic outcomes (deformity correction, ROM, function, osteotomy healing, complications) in a series of patients treated for cubitus varus using this technique. Description of TechniqueThe technique involves a kind of closing-wedge osteotomy with a lateral spike to correct cubitus varus. To avoid lateral epicondyle prominence, the spike is translated medially and embedded in the proximal segment. Methods We treated 13 patients with cubitus varus using the new technique between 2005 and 2010. We compared preoperative and postoperative clinical and radiographic parameters (humerus-elbow-wrist angle, lateral prominence index, arc of elbow motion, DASH score) for all patients. Time to union was recorded. Postoperative evaluation was performed according to the modified criteria of Oppenheim et al. Minimum followup was 16 months (average, 27 months; range, 16-43 months). ResultsThe average humerus-elbow-wrist angle improved from À26°to 11°. The mean lateral prominence index did not differ after correction of deformity compared with the normal side. By using our rehabilitation protocol, all patients regained preoperative arcs of elbow motion in a mean of 2.5 months (range, 1.50-3.50 months) postoperatively, and the mean union time was 1.65 months. According to the criteria of Oppenheim et al., there were 11 excellent and two good results. Conclusions Our spike translation step-cut osteotomy with a larger contact surface of cancellous bone can be a reasonable alternative for correction of a cubitus varus deformity, with satisfactory deformity correction, reliable healing of osteotomy, and low complication rates. Level of Evidence Level IV, therapeutic study. See Instructions for Authors for a complete description of levels of evidence.

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The lateral condylar prominence. A complication of supracondylar osteotomy for cubitus varus

Cited by 73 publications

References 0 publications

Osteotomy for cubitus varus:A simple technique in 10 children

Osteotomy for cubitus varus:A simple technique in 10 children

Clinical Results of Supracondylar Dome Osteotomy for Cubitus Varus and Valgus Deformities in Adults

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

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