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A double-closed wedge broken-line osteotomy for cubitus varus deformity
Various osteotomy methods have been proposed in the treatment of cubitus varus. We designed an improved stepped osteotomy to achieve improved deformity correction. We refer to this new approach as double-closed wedge broken-line osteotomy and report a series of clinical and imaging results (deformit...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8202564/ https://www.ncbi.nlm.nih.gov/pubmed/34114995 http://dx.doi.org/10.1097/MD.0000000000026124 |
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author | You, Chao Zhou, Yibiao Han, Jingming |
author_facet | You, Chao Zhou, Yibiao Han, Jingming |
author_sort | You, Chao |
collection | PubMed |
description | Various osteotomy methods have been proposed in the treatment of cubitus varus. We designed an improved stepped osteotomy to achieve improved deformity correction. We refer to this new approach as double-closed wedge broken-line osteotomy and report a series of clinical and imaging results (deformity correction, range of motion [ROM], function, osteotomy healing, and complications) of patients with cubitus varus treated with this technique. Between July 2014 and July 2019, we treated 9 cases of cubitus varus using the new technique. The study was conducted in accordance with the principles of the Declaration of Helsinki, and the study protocol was approved by the ethics committee of Shenzhen Children's Hospital. We obtained written parental consent for the minors before the study was begun. We compared preoperative and postoperative clinical and imaging parameters (humeral elbow-wrist angle, elbow ROM) in all patients. Postoperative evaluation was performed by telephone interview and outpatient review. The median follow-up was 23.2 months (range, 3–63 months). The median humeral elbow-wrist angle modified from −14.27 to 15.15. The median clinical and imaging parameters after correction of deformity were not different from that of the normal side. Using our rehabilitation program, all patients recovered preoperative elbow ROM at the last follow-up. Our double-closed wedge broken-line osteotomy has a larger cancellous bone contact surface. The deformity correction is satisfactory, the osteotomy healing is reliable, and the incidence of complications is low. Level of Evidence: Level IV. |
format | Online Article Text |
id | pubmed-8202564 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-82025642021-06-15 A double-closed wedge broken-line osteotomy for cubitus varus deformity You, Chao Zhou, Yibiao Han, Jingming Medicine (Baltimore) 7100 Various osteotomy methods have been proposed in the treatment of cubitus varus. We designed an improved stepped osteotomy to achieve improved deformity correction. We refer to this new approach as double-closed wedge broken-line osteotomy and report a series of clinical and imaging results (deformity correction, range of motion [ROM], function, osteotomy healing, and complications) of patients with cubitus varus treated with this technique. Between July 2014 and July 2019, we treated 9 cases of cubitus varus using the new technique. The study was conducted in accordance with the principles of the Declaration of Helsinki, and the study protocol was approved by the ethics committee of Shenzhen Children's Hospital. We obtained written parental consent for the minors before the study was begun. We compared preoperative and postoperative clinical and imaging parameters (humeral elbow-wrist angle, elbow ROM) in all patients. Postoperative evaluation was performed by telephone interview and outpatient review. The median follow-up was 23.2 months (range, 3–63 months). The median humeral elbow-wrist angle modified from −14.27 to 15.15. The median clinical and imaging parameters after correction of deformity were not different from that of the normal side. Using our rehabilitation program, all patients recovered preoperative elbow ROM at the last follow-up. Our double-closed wedge broken-line osteotomy has a larger cancellous bone contact surface. The deformity correction is satisfactory, the osteotomy healing is reliable, and the incidence of complications is low. Level of Evidence: Level IV. Lippincott Williams & Wilkins 2021-06-11 /pmc/articles/PMC8202564/ /pubmed/34114995 http://dx.doi.org/10.1097/MD.0000000000026124 Text en Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) |
spellingShingle | 7100 You, Chao Zhou, Yibiao Han, Jingming A double-closed wedge broken-line osteotomy for cubitus varus deformity |
title | A double-closed wedge broken-line osteotomy for cubitus varus deformity |
title_full | A double-closed wedge broken-line osteotomy for cubitus varus deformity |
title_fullStr | A double-closed wedge broken-line osteotomy for cubitus varus deformity |
title_full_unstemmed | A double-closed wedge broken-line osteotomy for cubitus varus deformity |
title_short | A double-closed wedge broken-line osteotomy for cubitus varus deformity |
title_sort | double-closed wedge broken-line osteotomy for cubitus varus deformity |
topic | 7100 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8202564/ https://www.ncbi.nlm.nih.gov/pubmed/34114995 http://dx.doi.org/10.1097/MD.0000000000026124 |
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