Deformity Correction in Cubitus Varus-Our Experience

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Deformity Correction in Cubitus Varus-Our Experience

Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 2

Abstract

Introduction:Cubitusvarus or gun stock deformity of the elbow is the commonest complication following malunion of supracondylar fracture of the humerus in children .The normal carrying angle at the elbow, between three to seven degrees of valgus, is reversed into varus, resulting in a ugly deformity. Unfortunately it does not improve with remodeling even in a young child as it is not in the plane of normal movement (sagittal). We would like to share our experience in thesurgical treatment of cubitusvarus. Aim:To studythe radiological and functional outcomes following corrective osteotomy in cubitusvarus deformities and to assess the outcomes of commonly used osteotomies. Materials and Methods: Prospective study done between 2014-2017.Total number of patients in the study were 9. This study was performed under a protocol approved by our institutional review board. Data regarding physical and radiographic examinations were reviewed retrospectively using charts and radiographs.Age group pf the patients under our study were 3-15 years.(3,15, 13,4,7,6, 4, 6, 5), mean age being 7 years. Boys were 6 in number and girls were 3 in number. Right side were 4 and left side were 5. All deformities resulted from malunion of distal humeral supracondylar fractures sustained by the patients when they were from 3 years to 15 years of age. The mean duration of presentation to our OPD with deformity were 20 months from the date of injury. The majority of cases,7 underwent indigenous treatment in the form of splinting. In two cases cubitusvarus resulted from failed closed reduction and k wires fixation .Humeroulnar angle was measured in anteroposterior radiographs in full extension and supination. The mean humeroulnar angle was measured to be 23 degrees of varus.The amount of correction required was decided based on the carrying angle of the normal side. There was no other restriction of movements other than the deformity in the coronal plane. There was a mean internal rotation deformity of 10 degrees measured by comparing the arc of rotations of the ipsilateral shoulder with the contralateral shoulder. None of the selected patients for osteotomy had a distal neurological deficit or myositis ossificans.

Authors and Affiliations

Srijay Sashaank . S, Giriraj J. K, Gopinath Menon P

Keywords

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EP ID EP592116
DOI 10.9790/0853-160204132137.
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