Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

Users Online : 7511

Original article / research
Year : 2017 | Month : March | Volume : 11 | Issue : 3 | Page : RC08 - RC12

Management of Cubitus Varus Deformity in Children by Closed Dome Osteotomy

Partap Singh Verka, Ujjwal Kejariwal, Bijendra Singh

1. Associate Professor, Department of Orthopaedics, Government Medical College, Amritsar, Punjab, India. 2. Junior Resident, Department of Orthopaedics, Government Medical College, Amritsar, Punjab, India. 3. Junior Resident, Department of Orthopaedics, Government Medical College, Amritsar, Punjab, India.

Correspondence Address :
Dr Partap Singh Verka,
Associate Professor and Incharge, Orthopaedics Unit No. 2; 1st Floor,
Guru Nanak Dev Hospital, Majitha Road, Amritsar-143001, Punjab, India.
E-mail: singhdr.partap@yahoo.in

Abstract

Introduction: Supracondylar fractures are the most common elbow injuries in skeletally immature children between 5-10 years of age and cubitus varus deformity is the most common late complication. Cubitus varus or bow elbow or gunstock deformity is the result of malunion occurring as a complication of supracondylar fracture of the humerus. Various type of corrective osteotomies are used of which lateral closed wedge French osteotomy is commomly used which has its own complications like lateral condylar prominence, unsightful scar and limitation of movement. Closed dome osteotomy is a technique which overcomes these complications. This surgery is done with simple readily available instruments in the orthopaedic operation theatre with no special requirements for instrumentation.

Aim: This study was done to study the results of closed dome osteotomy for correction of cubitus varus deformity, after malunited supracondylar fracture of humerus in children.

Materials and Methods: This study included 25 children of either sex with malunited supracondylar fracture of distal humerus having cubitus varus deformity admitted in orthopaedics department. After appropriate pre operative assessment, closed dome osteotomy was done and post operatively X-ray of patients was taken and carrying angle and Lateral Condylar Prominence Index (LCPI) were calculated. Patients were re-assessed at complete union and results were calculated as per Mitchell and Adams criteria.

Results: In our study of 25 patients, 68% were males, 32% were females. Majority (84%) of patients were in the age group of 5-10 years. Carrying angle post operatively was 0-10° valgus in 64% of patients while 36% had 10-20° valgus. LCPI changed post operatively ranging from +5.0% to -10.7%, average -2.75%. Decrease in LCPI had better cosmetic appearance. Range of motion post operatively increased or remained same as previous full motion in 84% of the patients. Union occurred in all patients by eight weeks. Few complications were seen. Results according to Mitchell and Adams criteria were excellent in 88% and good in 12%; while no poor results were recorded.

Conclusion: The results obtained in our study concluded that closed dome osteotomy is safe and effective treatment for the correction of cubitus varus deformity with few minor complications.

Keywords

Deformity correction, Paediatric osteotomy, Supracondylar fracture of humerus

How to cite this article :

Partap Singh Verka, Ujjwal Kejariwal, Bijendra Singh. MANAGEMENT OF CUBITUS VARUS DEFORMITY IN CHILDREN BY CLOSED DOME OSTEOTOMY. Journal of Clinical and Diagnostic Research [serial online] 2017 March [cited: 2017 Apr 25 ]; 11:RC08-RC12. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=March&volume=11&issue=3&page=RC08-RC12&id=9551

DOI and Others

DOI: 10.7860/JCDR/2017/24345.9551


Date of Submission: Sep 22, 2016
Date of Peer Review: Oct 25, 2016
Date of Acceptance: Nov 19, 2016
Date of Publishing: Mar 01, 2017


Financial OR OTHER COMPETING INTERESTS: None.

JCDR is now Monthly and more widely Indexed .
  • PubMed Central® (PMC)New
  • Academic Search Complete Database
  • Chemical Abstracts Service
  • Directory of Open Access Journals (DOAJ)
  • EBSCOhostNew
  • Embase & EMbiology
  • Google Scholar
  • HINARI Access to Research in Health Programme
  • Indian Science Abstracts (ISA)
  • Journal seek Database
  • Open J-Gate
  • Popline (reproductive health literature)
  • SCOPUS
  • www.omnimedicalsearch.com