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BMC Surgery

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Open Access 01-12-2022 | Research

A novel method of lateral closing wedge osteotomy for cubitus varus deformity in children

Authors: Yuxi Su, Yan Xie, Guoxin Nan

Published in: BMC Surgery | Issue 1/2022

Abstract

Background

Humeral osteotomy is the best method for treatment of severe cubitus varus in children. Many osteotomy methods have been developed in the past. In this study, we describe a novel corrective technique by applying the principles described by Paley involving lateral osteotomy using Kirschner wires (K-wires). Vertices of the osteotomy should be located at the center of rotation of angulation. The anatomical and mechanical axes can be corrected with precision.

Patients and methods

In this retrospective study, 21 patients (17 male, 4 female) who fulfilled the study criteria and underwent lateral closing osteotomy for cubitus varus deformity from July 2015 to October 2017 were included into the study. The osteotomy line of all patients was designed according to Paley’s principles. An isosceles triangle template was made according to the design preoperatively. The lateral osteotomy was made with the assistance of C-arm radiographs. The osteotomy was fixed by K-wires laterally. Patients were followed up, and elbows were evaluated by radiography and using the Mayo Elbow Performance Index (MEPI) score.

Results

The mean correction angle obtained was 32.33°±2.83°. According to the MEPI score assessment, 19 of the 21 patients had an excellent outcome and two had a good outcome. Two patients complained of conspicuous scars; however, no further cosmetic surgery was performed. The range of motion was 135.0° preoperatively and 133.7° postoperatively, showing no significant difference (p = 0.326). None showed evidence of neurovascular injury or complained of prominence of the lateral humerus.

Conclusion

Paley’s principles for correcting cubitus varus deformity in children are effective and reliable for treating such a condition.

Level of evidence

Therapeutic IV.

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Title: A novel method of lateral closing wedge osteotomy for cubitus varus deformity in children
Authors: Yuxi Su
Yan Xie
Guoxin Nan
Publication date: 01-12-2022
Publisher: BioMed Central
Published in: BMC Surgery / Issue 1/2022
Electronic ISSN: 1471-2482
DOI: https://doi.org/10.1186/s12893-022-01854-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A novel method of lateral closing wedge osteotomy for cubitus varus deformity in children

Abstract

Background

Patients and methods

Results

Conclusion

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Patients and methods

Results

Conclusion

Level of evidence

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