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Neural wedge osteotomy method of correction for cubitus varus deformity in children.

Abstract
In this study, we evaluated the clinical outcome of neutral wedge osteotomy assisted with the center of rotation of angulation (CORA) method of distal humerus anatomical axis for the treatment of cubitus varus deformity in children. From 2016 to 2019, 20 children with cubitus varus deformity after supracondylar fracture of the humerus were enrolled. Standard anteroposterior radiograph of the humerus was taken preoperatively. The CORA point and angulation angles were obtained by measuring the proximal and distal humerus anatomical axis. During the operation, neutral wedge osteotomy was performed to correct the varus deformity. The Baumann angle and the carrying angle were used to evaluate the correction effect of the distal humeral varus deformity. The average age of the patients was 7.8 years. Patients were followed up for an average of 29.3 months (range, 24-36 months). The average interval between surgery and injury was 12 months. The mean preoperative Baumann angle and carrying angle were 99° (90°-115°) and -14° (range, -10° to -30°), respectively. At the last follow-up, the mean Baumann angle and carrying angle was 76° (70°-80°) and 13.6° (10°-18°), respectively, with 16 cases showing excellent outcome and 4 cases showing good outcome. Our results indicated that the neutral wedge osteotomy assisted with CORA method of distal humerus anatomical axis showed good clinical outcomes in the treatment of cubitus varus deformity in children and is worthy of clinical application. The level of evidence is IV.
AuthorsJin Dai, Wenyan Zhang, Chengda Zou, Gao Yu, Tantan Zhao, Mingchao Chen, Zheming Gao
JournalMedicine (Medicine (Baltimore)) Vol. 101 Issue 34 Pg. e30074 (Aug 26 2022) ISSN: 1536-5964 [Electronic] United States
PMID36042646 (Publication Type: Journal Article)
CopyrightCopyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.
Topics
  • Child
  • Elbow Joint (surgery)
  • Humans
  • Humeral Fractures (complications, surgery)
  • Humerus (surgery)
  • Joint Deformities, Acquired (etiology, surgery)
  • Limb Deformities, Congenital
  • Musculoskeletal Diseases
  • Osteotomy (methods)
  • Range of Motion, Articular
  • Treatment Outcome
  • Elbow Injuries

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