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
A comparison of graft union time in vascularized and avascular fibula for reconstruction in tumors of the appendicular skeleton
Background: Resection of the tumor by a limb-sparing procedure followed by restoration of soft tissues makes a successful limb salvage surgery. Fibulais usually used because of its advantages. The reconstruction with fib...
A study of functional outcome of distal tibial fractures treated with distal metaphyseal locking plates
For the past decade, plating using fracture reduction has been successful in treating complex fractures of the lower extremity, especially distal tibia. The goal of this technique is to apply stable plate fixation while...
Antibiotic impregnated PMMA coated nails for Infected nonunion of long bone diaphyseal fractures
Background: Management of infected nonunion of long bones is a major challenge. The problem in treating them are 1) Infection. 2) poor soft tissue envelope. 3) Instability. 4) Deformity. The principle in treating these c...
A study of the role of locking humerus plates in early mobilization of fracture of proximal humerus in adult at tertiary health care center
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...
A randomized controlled trial comparing outcomes of k wire removal at 4 weeks vs. 6 weeks of lateral condyle fractures of humerus in children
Background and Objectives: Lateral condyle humerus fractures are the most common distal humeral fractures in children. They are associated with higher rate of complications and the results of non-operative management are...