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Guided Growth for the Treatment of Cubitus Varus in Children: Medium- to Long-Term Results
Correction of cubitus varus is commonly attempted through supracondylar humeral osteotomy. We hypothesized that lateral distal humeral hemiepiphysiodesis (LDHH) could be used to gradually correct this deformity in children. We conducted a retrospective study including all patients who underwent LDHH...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10095142/ https://www.ncbi.nlm.nih.gov/pubmed/37048715 http://dx.doi.org/10.3390/jcm12072632 |
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author | Martínez-Álvarez, Sergio Galán-Olleros, María Alonso-Hernández, Javier Vara-Patudo, Isabel Miranda-Gorozarri, Carlos Palazón-Quevedo, Ángel |
author_facet | Martínez-Álvarez, Sergio Galán-Olleros, María Alonso-Hernández, Javier Vara-Patudo, Isabel Miranda-Gorozarri, Carlos Palazón-Quevedo, Ángel |
author_sort | Martínez-Álvarez, Sergio |
collection | PubMed |
description | Correction of cubitus varus is commonly attempted through supracondylar humeral osteotomy. We hypothesized that lateral distal humeral hemiepiphysiodesis (LDHH) could be used to gradually correct this deformity in children. We conducted a retrospective study including all patients who underwent LDHH with the eight-Plate system between 2008 and 2018, with a minimum 4-year follow-up. We collected demographic, fracture-related, pre- and postoperative clinical (carrying angle (CA), ROM), and radiological data (humeral-ulnar angle (HUA), Baumann angle (BA), shaft-condylar angle (SCA), lateral capitellohumeral angle (LCHA)), as well as data on complications and satisfaction at last follow-up. Fifteen patients were included, with a median follow-up of 81 (64–103) months. All the variables had improved significantly as follows: CA −16 (−18 to −9)°, HUA −16 (−19 to −12)°, BA −11 (−17 to −7)°, SCA 7.5 (3.3 to 13.8)°, LCHA −4.8 (−6.8 to 0.6), flexion 10 (0 to 24)°, and extension 10 (0 to 10)°. The annual correction rate in terms of HUA was 2.41° (1.9 to 3.2). There were 5 cases of aseptic screw loosening, 4 of them requiring replacement, without relation to age at surgery (p = 0.324). Most patients (86.67%) were satisfied, and a relationship was found with younger age at surgery (p = 0.037). In conclusion, preliminary results show that LDHH with the eight-Plate system is an effective technique for mild to moderate cubitus varus deformity correction in children. Patients should be advised of the relatively long duration of implant retention and the possibility of reoperation for screw replacement or implant removal. |
format | Online Article Text |
id | pubmed-10095142 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-100951422023-04-13 Guided Growth for the Treatment of Cubitus Varus in Children: Medium- to Long-Term Results Martínez-Álvarez, Sergio Galán-Olleros, María Alonso-Hernández, Javier Vara-Patudo, Isabel Miranda-Gorozarri, Carlos Palazón-Quevedo, Ángel J Clin Med Article Correction of cubitus varus is commonly attempted through supracondylar humeral osteotomy. We hypothesized that lateral distal humeral hemiepiphysiodesis (LDHH) could be used to gradually correct this deformity in children. We conducted a retrospective study including all patients who underwent LDHH with the eight-Plate system between 2008 and 2018, with a minimum 4-year follow-up. We collected demographic, fracture-related, pre- and postoperative clinical (carrying angle (CA), ROM), and radiological data (humeral-ulnar angle (HUA), Baumann angle (BA), shaft-condylar angle (SCA), lateral capitellohumeral angle (LCHA)), as well as data on complications and satisfaction at last follow-up. Fifteen patients were included, with a median follow-up of 81 (64–103) months. All the variables had improved significantly as follows: CA −16 (−18 to −9)°, HUA −16 (−19 to −12)°, BA −11 (−17 to −7)°, SCA 7.5 (3.3 to 13.8)°, LCHA −4.8 (−6.8 to 0.6), flexion 10 (0 to 24)°, and extension 10 (0 to 10)°. The annual correction rate in terms of HUA was 2.41° (1.9 to 3.2). There were 5 cases of aseptic screw loosening, 4 of them requiring replacement, without relation to age at surgery (p = 0.324). Most patients (86.67%) were satisfied, and a relationship was found with younger age at surgery (p = 0.037). In conclusion, preliminary results show that LDHH with the eight-Plate system is an effective technique for mild to moderate cubitus varus deformity correction in children. Patients should be advised of the relatively long duration of implant retention and the possibility of reoperation for screw replacement or implant removal. MDPI 2023-03-31 /pmc/articles/PMC10095142/ /pubmed/37048715 http://dx.doi.org/10.3390/jcm12072632 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Martínez-Álvarez, Sergio Galán-Olleros, María Alonso-Hernández, Javier Vara-Patudo, Isabel Miranda-Gorozarri, Carlos Palazón-Quevedo, Ángel Guided Growth for the Treatment of Cubitus Varus in Children: Medium- to Long-Term Results |
title | Guided Growth for the Treatment of Cubitus Varus in Children: Medium- to Long-Term Results |
title_full | Guided Growth for the Treatment of Cubitus Varus in Children: Medium- to Long-Term Results |
title_fullStr | Guided Growth for the Treatment of Cubitus Varus in Children: Medium- to Long-Term Results |
title_full_unstemmed | Guided Growth for the Treatment of Cubitus Varus in Children: Medium- to Long-Term Results |
title_short | Guided Growth for the Treatment of Cubitus Varus in Children: Medium- to Long-Term Results |
title_sort | guided growth for the treatment of cubitus varus in children: medium- to long-term results |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10095142/ https://www.ncbi.nlm.nih.gov/pubmed/37048715 http://dx.doi.org/10.3390/jcm12072632 |
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