Osteotomy for cubitus varus: a simple technique in 10 children

Area of Science:

• Pediatric Orthopedics
• Traumatology
• Surgical Techniques

Background:

• Cubitus varus deformity is a common complication following pediatric supracondylar humerus fractures.
• Corrective osteotomy is often required to restore elbow alignment and function.
• Lateral closing wedge osteotomy is a viable surgical option for managing this deformity.

Purpose of the Study:

• To evaluate the efficacy and outcomes of supracondylar lateral closing wedge osteotomy in children with post-traumatic cubitus varus deformity.
• To assess the union rate, complication profile, and functional and cosmetic results of this surgical technique.

Main Methods:

• Ten pediatric patients with cubitus varus deformity underwent supracondylar lateral closing wedge osteotomy.
• The medial cortical periosteal hinge was preserved during the osteotomy.
• Fixation was achieved using two Kirschner wires and a tension-band wire loop.

Main Results:

• All osteotomies achieved solid bony union within two months.
• No intraoperative or postoperative complications were reported.
• The surgical intervention resulted in satisfactory cosmetic appearance and improved elbow mobility.

Conclusions:

• Supracondylar lateral closing wedge osteotomy is a safe and effective procedure for correcting cubitus varus deformity in children.
• Preservation of the medial periosteal hinge and appropriate fixation contribute to successful healing and favorable outcomes.
• This technique offers a reliable solution for restoring elbow function and aesthetics after supracondylar fractures.