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The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
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[Corrective osteotomies for posttraumatic elbow deformities].

J Nowotny1, F Thielemann2, A Biewener2

  • 1UniversitätsCentrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Dresden, Fetscherstraße 74, 01307, Dresden, Deutschland. joerg.nowotny@uniklinikum-dresden.de.

Operative Orthopadie Und Traumatologie
|March 24, 2017
PubMed
Summary
This summary is machine-generated.

Surgical correction of elbow deformities using 3D osteotomies offers good to very good outcomes. This effective treatment addresses axial/rotational malalignment and functional deficits, with rare ulnar nerve irritation.

Keywords:
Arm injuriesCorrective osteotomyCosmetic surgeryElbow jointUpper extremity

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Area of Science:

  • Orthopedic Surgery
  • Reconstructive Surgery

Background:

  • Elbow joint deformities often result from trauma, leading to malalignment and functional deficits.
  • Inadequate healing post-trauma can cause significant cosmetic and functional impairments.

Purpose of the Study:

  • To outline the surgical correction of elbow joint deformities.
  • To detail the indications, contraindications, surgical techniques, and outcomes of 3D osteotomies for elbow malalignment.

Main Methods:

  • Utilized two-dimensional and three-dimensional supracondylar osteotomies (open or closed wedge).
  • Incorporated derotational correction for deformities with rotational components.
  • Employed specific osteotomy types (open/closed wedge) based on fracture patterns (flexion/extension).

Main Results:

  • Three-dimensional osteotomies of the distal humerus generally yield good to very good results.
  • A low incidence (2.5%) of transient ulnar nerve irritation was observed.

Conclusions:

  • 3D osteotomies are an effective treatment for complex elbow deformities.
  • The procedure demonstrates a favorable safety profile with minimal complications.