Lateral closing wedge supracondylar osteotomy fixed with angled tubular plate for cubitus varus deformity: A case report

Abstract

Introduction: Cubitus varus deformity after malunited supracondylar humerus fracture has various surgical techniques, implant configurations, and approaches. We describe a lateral closing wedge supracondylar osteotomy fixed with plate for cubits varus deformity to deliver an easy, safe, fast and reproducible result based on the current best evidence. Presentation of case: A case of malunited supracondylar humerus is described. The case involves a 12 year-old girl who presented with outstretched and supinated right arm after falling while playing when she was 5 years old. We found no abnormality in radial and median nerve function, but the right arm radiographs showed malunited fracture of the supracondylar humerus. On clinical examination elbow flexion of only 100° and elbow hyperextension of 20°. The cubitus varus was recorded with clinical carrying angle of varus 20°. We used lateral closing wedge supracondylar osteotomy, lateral approach, and our novel fixation technique with plate and showed excellent results. We also assessed the pain score and disabilities of the arm, shoulder and hand (DASH) score and recorded satisfactory results. Conclusion: The lateral closing wedge supracondylar osteotomy fixed with plate for treatment of cubitus varus deformity can provide an easy, safe, and reproducible result.