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Lateral closed wedge osteotomy for cubitus varus deformity.

Amit K Srivastava1, Dc Srivastava, Sc Gaur

  • 1Department of Orthopaedics UCMS/GTB Hospital, Delhi, India.

Indian Journal of Orthopaedics
|September 16, 2009
PubMed
Summary

Supplementing lateral closed wedge osteotomy with Kirschner wires provides stable fixation for cubitus varus deformity. This enhanced method effectively controls rotational and angular forces, maintaining surgical correction in pediatric patients.

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Area of Science:

  • Orthopedic surgery
  • Pediatric orthopedics
  • Skeletal deformities

Background:

  • Cubitus varus deformity is often corrected using lateral closed wedge (LCW) osteotomy.
  • Standard fixation with screws and tension band wire may lack sufficient stability.
  • Improved fixation methods are needed to maintain surgical correction.

Purpose of the Study:

  • To evaluate the efficacy of supplementing LCW osteotomy fixation with Kirschner (K-) wires.
  • To assess the stability and maintenance of correction in cubitus varus deformity.

Main Methods:

  • Prospective study of 21 pediatric patients (mean age 8.5 years) with cubitus varus.
  • LCW osteotomy fixed with two screws and a figure-of-eight wire, augmented by 2-3 K-wires.
  • K-wires passed from the lateral condyle engaging the proximal medial cortex.
Keywords:
Cubitus varus deformityfixation techniquelateral condylar wedge osteotomy

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Main Results:

  • Mean follow-up of 2.5 years.
  • Excellent results in 18 cases and good results in 3 cases, assessed by Morrey criteria.
  • Two cases experienced superficial pin tract infections.

Conclusions:

  • Additional K-wire fixation provides stable control of rotational, angular, and translational forces.
  • This technique effectively maintains the correction achieved during surgery for cubitus varus.
  • Supplemented fixation enhances the reliability of LCW osteotomy in pediatric patients.