title: Lateral wedge osteotomy for pediatric post-traumatic cubitus varus: Kirschner-wires or locking angular plate?
abstract: This study aimed to evaluate and compare two types of internal fixation, locking angular plate (group 1) and Kirschner-wires (group 2), for post-traumatic cubitus varus. The parameters used were Laupattarakasem's criteria (for range of motion in extension/flexion, correction of carrying angle, and the 'lazy S' deformity) and the Barrett's questionnaire (for patient satisfaction). In group I (plate+screws), we had three excellent results and five good. In group II (Kirschner-wires), we had two good results, three fair, and two poor. Statistical analysis showed a better outcome for group I (plate+screws) considering the correction of the humeral-elbow-wrist angle (P<0.003), the postoperative lateral prominence index (P<0.048), and the patient satisfaction (P<0.011). We recommend the locking angular plate, because it can rigidly stabilize the osteotomy, ensuring an excellent functional and cosmetic outcome.
authors.affiliation: Universitary Department of Anatomic, Histologic, Forensic and Locomotor Apparatus Sciences - Section of Locomotor Apparatus Sciences, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy.
authors.forename: Pietro
authors.initials: P
authors.lastname: Persiani
authors.forename: Giovanni
authors.initials: G
authors.lastname: Noia
authors.forename: Claudia
authors.initials: C
authors.lastname: de Cristo
authors.forename: Jole
authors.initials: J
authors.lastname: Graci
authors.forename: Michele D
authors.initials: MD
authors.lastname: Gurzì
authors.forename: Ciro
authors.initials: C
authors.lastname: Villani
mesh_terms: D001860:Bone Plates / Q000592:standards*; D001864:Bone Wires / Q000592:standards*; D002648:Child; D004551:Elbow Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016268:Internal Fixators / Q000592:standards; D008297:Male; D010027:Osteotomy / Q000295:instrumentation* / Q000592:standards*; D012189:Retrospective Studies; D000092464:Elbow Injuries