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Three-dimensional corrective osteotomy for cubitus varus in adults
Moon Sang Chung1, Goo Hyun Baek
1Seoul National University College of Medicine, Seoul, South Korea.
Journal of Shoulder and Elbow Surgery
|October 18, 2003
Summary
This study shows that 3-dimensional osteotomy effectively corrects cubitus varus deformity in adults. The procedure improved elbow alignment and rotation, offering a recommended solution for this condition.
Area of Science:
- Orthopedic Surgery
- Skeletal Deformity Correction
Background:
- Cubitus varus is a common elbow deformity.
- Correction often requires addressing multiple angular and rotational issues.
Purpose of the Study:
- To evaluate the efficacy of 3-dimensional osteotomy for correcting cubitus varus in adult patients.
- To assess simultaneous correction of varus, internal rotation, flexion-extension deformities, and lateral distal fragment protrusion.
Main Methods:
- A cohort of 23 adult patients with cubitus varus deformity underwent 3-dimensional corrective osteotomy.
- Surgical correction addressed varus, internal rotation, flexion-extension deformities, and lateral distal fragment protrusion.
- Follow-up averaged 1 year and 10 months.
Main Results:
- The humeral-elbow-wrist angle improved from an average of 26 degrees varus to 3 degrees valgus.
- Internal rotation improved from a mean of 25 degrees to 5 degrees.
- No recurrence of deformity was observed.
Conclusions:
- 3-dimensional osteotomy is a safe and effective method for correcting cubitus varus in skeletally mature adults.
- The technique successfully addresses complex elbow deformities simultaneously.
- This approach is recommended for treating adult cubitus varus.