PMID- 34848665
OWN - NLM
STAT- MEDLINE
DCOM- 20211203
LR  - 20211214
IS  - 1473-5865 (Electronic)
IS  - 1060-152X (Linking)
VI  - 31
IP  - 1
DP  - 2022 Jan 1
TI  - Post-traumatic cubitus varus: long-term follow-up of corrective osteotomy using 
      the Ilizarov method of compression distraction osteogenesis.
PG  - 31-42
LID - 10.1097/BPB.0000000000000845 [doi]
AB  - The term cubitus varus describes the inward inclination of the supinated forearm 
      on the extended elbow. The deformity manifests clinically as a decreased carrying 
      angle, decreased range of motion (ROM) along with a cosmetically unsightly 
      appearance. The aim of the present study was to evaluate the technique of 
      compression-distraction osteogenesis using the Ilizarov apparatus in the 
      management of patients with post-traumatic cubitus varus deformity. The 
      objectives were to study the impact of this method on the ROM, the Humerus Elbow 
      Wrist (HEW) angle as well as the Lateral Prominence Index. A total of 32 patients 
      who presented with a cubitus varus deformity of >/=10 degrees  at the elbow were 
      retrospectively analyzed using data retrieved from a computerized hospital 
      database. All patients had undergone a mini-incision subperiosteal osteotomy 
      followed by application of an Ilizarov frame. Cinico-radiological follow-up was 
      carried out at regular intervals until union was achieved and yearly thereafter. 
      The mean time to union was 11 weeks. The mean follow-up period ranged from 2 to 
      12 years (mean 4.0 years). Results were graded as excellent in 25 cases (78.1%), 
      good in 2 (6.3%) and poor in 5 case (15.6%) using the grading system of 
      Oppenheim. The mean HEW angle at final follow-up improved from 20 degrees  of varus to 6 degrees  
      of valgus. The mean flexion/extension improved from 121 degrees /-3 degrees  preoperatively to 
      125 degrees /-4 degrees  at final follow-up. The Mayo Elbow Performance scores at final follow-up 
      were excellent in 23 cases, good in 7 and fair in 2. Complications encountered 
      included superficial pintract infections in three cases, lateral condylar 
      prominence in one case, loss of terminal flexion in three cases and valgus 
      over-correction in one case.
CI  - Copyright (c) 2020 Wolters Kluwer Health, Inc. All rights reserved.
FAU - Agrawal, Rajat
AU  - Agrawal R
AD  - Agrawal Orthopaedic Hospital and Research Institute, Gorakhpur.
AD  - Department of Orthopaedics, Rohilkhand Medical College, Bareilly, Uttar Pradesh.
FAU - Agrawal, Ram Avtar
AU  - Agrawal RA
AD  - Agrawal Orthopaedic Hospital and Research Institute, Gorakhpur.
FAU - Kaul, Rajiv
AU  - Kaul R
AD  - Department of Orthopaedics, Military Hospital, Kirkee.
FAU - Akhoon, Neha
AU  - Akhoon N
AD  - Department of Pharmacology, Armed Forces Medical College, Pune, India.
FAU - Bollabathini, Raju
AU  - Bollabathini R
AD  - Agrawal Orthopaedic Hospital and Research Institute, Gorakhpur.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Pediatr Orthop B
JT  - Journal of pediatric orthopedics. Part B
JID - 9300904
SB  - IM
MH  - *Elbow Joint/diagnostic imaging/surgery
MH  - Follow-Up Studies
MH  - Humans
MH  - *Humeral Fractures/complications/diagnostic imaging/surgery
MH  - *Ilizarov Technique
MH  - *Joint Deformities, Acquired/diagnostic imaging/etiology/surgery
MH  - *Osteogenesis, Distraction
MH  - Osteotomy
MH  - Range of Motion, Articular
MH  - Retrospective Studies
MH  - Treatment Outcome
EDAT- 2021/12/02 06:00
MHDA- 2021/12/15 06:00
CRDT- 2021/12/01 06:08
PHST- 2021/12/01 06:08 [entrez]
PHST- 2021/12/02 06:00 [pubmed]
PHST- 2021/12/15 06:00 [medline]
AID - 01202412-202201000-00006 [pii]
AID - 10.1097/BPB.0000000000000845 [doi]
PST - ppublish
SO  - J Pediatr Orthop B. 2022 Jan 1;31(1):31-42. doi: 10.1097/BPB.0000000000000845.