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Oblique closing wedge osteotomy and lateral plating for cubitus varus in adults

Cited 14 time in Web of Science Cited 18 time in Scopus
Authors
Gong, Hyun Sik; Chung, Moon Sang; Oh, Joo Han; Cho, Hoyune Esther; Baek, Goo Hyun
Issue Date
2008-02-15
Publisher
Lippincott, Williams & Wilkins
Citation
Clin Orthop Relat Res. 2008;466(4):899-906
Keywords
Bone ScrewsElbow Joint/injuries/physiopathology/*surgeryFemaleHumansHumeral Fractures/*complications/physiopathology/surgeryJoint Deformities, Acquired/etiology/physiopathology/*surgeryMaleMiddle AgedOsteotomy/instrumentation/*methodsOsteotomy/instrumentation/*methodsRecovery of FunctionTime FactorsTreatment Outcome
Abstract
Corrective osteotomy around the elbow can require longer recovery time in adults than in children because of the longer healing period and the propensity for stiffness. We hypothesized a lateral oblique closing wedge osteotomy with a larger contact area and fixation with a lag screw plus early motion would provide stable fixation and early motion recovery in adults with cubitus varus deformity. Twelve consecutive patients who needed surgery were treated using this procedure. They were allowed active motion exercises 1 week postoperatively. The age of the patients at the time of surgery averaged 39 years (range, 31-48 years). The minimum followup was 15 months. All patients achieved healing of the osteotomy, and regained preoperative arcs of elbow motion at a mean of 7.3 weeks (range, 2-12 weeks) postoperatively. The average humerus-elbow-wrist angle improved from -23.3 degrees to 8 degrees (p < 0.002) by a mean gain of 29.6 degrees . The mean lateral prominence index did not increase postoperatively. The final MEPI and DASH score averaged 95.4 points and 5.5 points. No patient experienced nerve palsy. Oblique osteotomy and fixation with a lag screw and lateral plating is a reasonable alternative technique for cubitus varus in adults, with early recovery of elbow motion and satisfactory deformity correction. LEVEL OF EVIDENCE: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.
ISSN
0009-921X (Print)
Language
English
URI
http://www.springerlink.com/content/f3718k13528u2382/fulltext.pdf

https://hdl.handle.net/10371/67475
DOI
https://doi.org/10.1007/s11999-008-0164-0
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College of Medicine/School of Medicine (의과대학/대학원)Orthopedic Surgery (정형외과학전공)Journal Papers (저널논문_정형외과학전공)
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