Comparison Between Oblique Lateral Closing Wedge Osteotomy and Dome Osteotomy for Cubitus Varus | ||
| Al-Azhar University Journal of Medical and Virus Researches and Studies | ||
| Volume 6, Issue 1, March 2024, Pages 27-37 PDF (613.41 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/aujv.2024.361063 | ||
| Abstract | ||
| Cubitus varus deformity usually results as a late complication of supracondylar fracture of the distal humerus. Different types of corrective osteotomies have been described, but a gold standard has not yet been established. This study aims to compare the results of oblique lateral closing wedge osteotomy and dome osteotomy for cubitus varus correction in skeletally immature patients. This study was conducted on 20 cases, which were operated during the period between July and December 2021. We performed oblique lateral closing wedge osteotomy on half of the patients and the other half managed with dome osteotomy. The mean age of patients was 9 years, 40% of them were males and 60% were females. The cases were divided into two equal parts 50% were affected in the dominant side and the other 50% were in the non-dominant side. Knowing that all patients were skeletally immature and had an average varus angle of 17.66°. The results of Range of elbow flexion-extension motion were affected in active flexion by ten degrees or less in 5 patients (50%) for oblique lateral closing wedge osteotomy and 7 patients (70%) for dome osteotomy, more than ten degrees up to twenty degrees in 3 patients (30%) for oblique lateral closing wedge osteotomy and 2 patients (20%) for dome osteotomy, and more than twenty degrees in 2 patients (20%) for oblique lateral closing wedge osteotomy and 1patient (10%) for dome osteotomy. The difference in the carrying angle between the normal side and side where an operation was carried out was 5 degrees or less in 7 cases (70%) for oblique lateral closing wedge osteotomy and 6 patients (60%) for dome osteotomy, and more than five to ten degrees in 3cases (30%) for oblique lateral closing wedge osteotomy and 4 patients (40%) for dome osteotomy. With net result, for oblique lateral closing wedge osteotomy 6 patients had excellent results (60%), 2 patients had good results (20%), and 2 patients had poor results (20%). While for dome osteotomy 7 patients had excellent results (70%), 2 patients (20%) had good results and only 1 patient had poor results (10%). Supracondylar lateral closing wedge osteotomy via lateral approach is safe, cost-effective, simple and with a low rate of complications. The dome-shaped osteotomy fixed by crossed pins is a relatively simple procedure and more effective in minimizing lateral condylar prominence. | ||
| Keywords | ||
| Cubitus varus; Deformity; Osteotomy | ||
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