Morbidity and complications of lateral closing wedge osteotomy in children as treatment of malunited supracondylar humerus fracture with cubitus varus
Journal Title: Medpulse International Journal of Orthopedics - Year 2019, Vol 9, Issue 3
Abstract
Background: Supracondylar humeral fractures are most common elbow fractures in children. The most common complication among all is malunion leading to cubitus varus deformity.Lateral closing wedge osteotomy is the easiest, the safest, and inherently the most stable osteotomy to correct the varus deformity with minimal correction of hyperextension. Aim: To study the morbidity and complications of lateral closing wedge osteotomy in children as treatment of malunited supracondylar humerus fracture with cubitus varus. Material and Methods: A total of 20 children of malunited supracondylar fracture of humerus were treated by lateral closed wedge osteotomy fixed by two screws and figure of eight tension band wire.The fixation was supplemented with one lateral K-wire. Post-operatively, according to Oppenheim’s criteria patient were evaluated and parents and patient’s satisfaction with final appearance and function of the limb was taken into consideration. Results: According to the Oppenheim et.al. criteria, excellent outcome was noted in 14(72%) cases, good outcome in 4(22%) cases and poor outcome in 2(6%) cases. 18(94%) patients/parents were satisfied with the final outcome. Conclusion: Lateral closing wedge osteotomy with a lateral K-wire is a sound, cost-effective, technically less demanding modality of treatment for varus deformity with less complications.
Authors and Affiliations
Swaroop Solunke, Sanjay Deo, Pramod N, Avinash Kumar, Subhanshu Gupta
Keywords
Related Articles
- EP ID EP539171
- DOI 10.26611/1020931
- Views 72
- Downloads 0
Clinical profile of patients admitted with supracondylar fracture of femur: A study from Swasthiyog Pratishthan, Miraj
Background: Supracondylar and intercondylar fractures of femur are very often difficult to treat and they are notorious for many complications. In the supra and intercondylar fractures of femur particularly with intra ar...
Dynamic hip screw fixation of intertrochanteric fractures of femur: A comparison of outcome with and without using traction table
Intertrochanteric fracture of the femur is one of the common fractures in the elderly. Dynamic Hip Screw (DHS) fixation is the gold standard for treatment of intertrochanteric femoral fracture. Conventional methods of ac...
Serum calcium level – A sensitive predictor of risk of fragile hip fracture in elderly Indian population
Background: Skeletal system is considered to be the internal construct of the human body and Calcium is the major component of it. Calcium exists as insoluble inorganic salts with phosphorous in the bone, aiding the mine...
Non union patella with quadriceps contracture – A case report
Introduction: Non union patella with quadriceps contracture is an unusual orthopaedic finding. Very few cases have recorded in the past have been recorded with similar findings. We record a case of 45 year male with non...
A study of outcome of fracture proximal humerus in adults treated with proximal humerus locking plate at tertiary health care center
Background: Humerus fractures have a substantial impact on personal function and well-being and are one of the leading causes of excessive mortality among the elderly. Aims and Objectives: To study outcomes of fracture p...