title: Arthroscopic Correction of a Supracondylar Malunion in a Child.
abstract: Malunions are a well-recognized complication of pediatric supracondylar humeral fractures. Results of corrective osteotomies vary, and complication rates have been reported to be as high as 40%. Considering the high rate of complications for malunion correction, we investigated the feasibility of arthroscopy. We present a technique for arthroscopic supracondylar osteotomy and percutaneous pinning. There are many advantages of an arthroscopic approach to malunion correction, including extension-type deformity correction, safe access to the anterior humerus, and minimal dissection and scarring; any intracapsular contracture can be addressed as well. Elbow arthroscopy appears to be a viable option in the pediatric orthopaedic surgeon's armamentarium.
authors.affiliation: Department of Orthopaedic Surgery, Mount Sinai Hospital, Mount Sinai Health System, New York, New York, U.S.A.
authors.forename: Steven M
authors.initials: SM
authors.lastname: Koehler
authors.affiliation: Department of Orthopaedic Surgery, Mount Sinai Hospital, Mount Sinai Health System, New York, New York, U.S.A.
authors.forename: Sara
authors.initials: S
authors.lastname: Sakamoto
authors.affiliation: Department of Orthopaedic Surgery, Mount Sinai Hospital, Mount Sinai Health System, New York, New York, U.S.A.
authors.forename: Brenon L
authors.initials: BL
authors.lastname: Abernathie
authors.affiliation: Department of Orthopaedic Surgery, Mount Sinai Hospital, Mount Sinai Health System, New York, New York, U.S.A.
authors.forename: Michael R
authors.initials: MR
authors.lastname: Hausman