A Modified Step-Cut (Reverse V) Osteotomy to Treat Posttraumatic Cubitus Varus Deformity.

ABSTRACT:

Introduction

It is sufficient to correct posttraumatic cubitus varus deformity in only the coronal plane in children under the age of ten years to allow more precise and stable correction, and a modified step-cut (reverse V) osteotomy is one of the best methods.

Step 1 expose the distal part of the humerus

With the patient in a lateral decubitus position, expose the distal part of the humerus both medially and laterally, using gentle retraction to avoid radial nerve palsy.

Step 2 resect bone

Using a triangular template made prior to surgery, perform the osteotomy.

Step 3 reduce deformity

Increase the degree of correction to reduce the deformity.

Step 4 fixation and skin closure

Cross-pin with Kirschner wires, taking care to avoid hyperextension at the os

SUBMITTER: Takagi T 

PROVIDER: S-EPMC7821968 | biostudies-literature | 2011 Jun

REPOSITORIES: biostudies-literature