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
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- EP ID EP539171
- DOI 10.26611/1020931
- Views 50
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