Reverse V osteotomy of the distal humerus for the correction of cubitus varus.
We reviewed 22 children with cubitus varus who had been treated by a reverse V osteotomy and fixation by cross-pinning and wiring. The mean pre-operative humeral-elbow-wrist angle was -16.9 degrees (-25 degrees to +9 degrees ) and at the latest follow-up it was +7.3 degrees (-2 degrees to +14 degrees ). No child had a lateral prominence greater than 5 mm after correction. An excellent result was achieved in 20 children and a good result in two. We believe that this osteotomy has the advantages of better inherent stability, the avoidance of a prominent lateral condyle after correction and firm fixation allowing early movement.
Yun
Y-H
YH
Department of Orthopaedic Surgery, Ewha Womans University, Mok-dong Hospital, 911-1, Mok-dong, Yangcheon-gu, Seoul 158-710, Korea.
Shin
S-J
SJ
Moon
J-G
JG
D000293:Adolescent; D001864:Bone Wires; D002648:Child; D002675:Child, Preschool; D004551:Elbow Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006810:Humeral Fractures / Q000150:complications / Q000601:surgery; D006811:Humerus / Q000000981:diagnostic imaging / Q000601:surgery*; D016916:Joint Deformities, Acquired / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D008297:Male; D010027:Osteotomy / Q000379:methods*; D011300:Preoperative Care / Q000379:methods; D011859:Radiography; D016059:Range of Motion, Articular; D016896:Treatment Outcome; D000092464:Elbow Injuries