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Related Experiment Videos

Cubitus varus: problem and solution.

A K Jain1, I K Dhammi, A Arora

  • 1Department of Orthopaedics, University College of Medical Sciences and Guru Teg Bahadur Hospital, Shahdra, Delhi, India.

Archives of Orthopaedic and Trauma Surgery
|September 1, 2000
PubMed
Summary
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External fixators offer a safe and effective solution for correcting cubitus varus deformity in children, outperforming other fixation methods and avoiding complications like infection or loss of correction.

Area of Science:

  • Orthopedic Surgery
  • Pediatric Orthopedics
  • Pediatric Trauma

Background:

  • Cubitus varus deformity commonly results from supracondylar fractures in children.
  • Significant varus deformity (≥15 degrees) requires surgical correction to restore the carrying angle.

Purpose of the Study:

  • To evaluate the effectiveness of different fixation methods for lateral closing wedge osteotomy in pediatric cubitus varus.
  • To identify the optimal fixation technique and age for surgical correction.

Main Methods:

  • A lateral closing wedge osteotomy was performed on 39 children with cubitus varus.
  • Fixation methods included Kirschner wires (K-wires), a modified French technique (TBW), and external fixators (EF).
  • Outcomes were assessed based on correction loss, range of motion, and complications.

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Main Results:

  • The K-wire group experienced poor results due to pin tract infection and loosening.
  • The TBW group had some loss of correction but no infections.
  • The EF group showed no infections or loss of correction, with effective fixation.

Conclusions:

  • External fixators are a safe, effective, and reliable method for fixing cubitus varus osteotomies.
  • The optimal age for correction is between 6-11 years.
  • External fixation is a recommended alternative to the modified French technique, especially for severe deformities.