Cubitus varus deformity correction by uniplanar supracondylar humeral osteotomy with preset k-wires fixation: Our experience

Abstract

Introduction: Cubitus varus deformity is the late complication after malunited supracondylar fracture of humerus in children. Various Osteotomies have been described in the literature and are associated with complications like nerve palsies, persistent varus deformity, infection, lateral condylar prominence, unsightful scar and loss of fixation.We report our experience for correction of cubitus varus deformity by uniplanar supracondylar humeral osteotomy and preset k-wires fixation with least complications. AIM: To study the results of of cubitus varus deformity correction by uniplanar supracondylar humeral osteotomy and preset k-wires fixation with least complications. Materials and Methods: A prospective study of 15 cases of cubitus varus deformity were included in the study. Pre-operative assessment of Carrying Angle and Elbow ROM was done. Uniplanar supracondylar humeral osteotomy and preset k-wires fixation was done in all cases. Results were evaluated using Mitchell and Adams criteria. Results: The average age at the time of injury was 5 years. The average age at corrective surgery was 6 years. The average operative time was 70 minutes. All cases were followed up till 1 year. All patients had increased carrying angle, increased elbow ROM and improved cosmetic outcome. The results were evaluated using Mitchell and Adams criteria. 1 patient had superficial pin tract infection, 1 pt had re-injury due to fall. The overall assessment showed excellent results in 80% and good results in 20% as per Mitchell and Adams criteria. Conclusion: From our study we conclude that cubitus varus deformity correction by uniplanar supracondylar humeral osteotomy with preset k-wires fixation is stable, simple, effective and safe method with least complications. Hence three dimensional tri planar correction of the deformity is not required for cubitus varus deformity correction.