Abstract
Cubitus varus deformity is a common complication of malunited supracondylar fractures of humerus. 5 cases were treated in our institute from Jun. 3 2016 to June 2018. They Cubitus were treated with lateral closing wedge osteotomy and fixation with plating. Mean operating time was 98 minutes. Lateral closing wedge osteotomy and fixation with plate is effective and safe technique in treatment of cubitus varus deformity in young adults. Keywords: Cubitus Varus, Deformity, Adults, Lateral, Closing Wedge, Osteotomy
Highlights
Cubitus varus deformity is a common complication of malunited supracondylar fractures of humerus. 5 cases were treated in our institute from Jun. 3 2016 to June 2018.They Cubitus were treated with lateral closing wedge osteotomy and fixation with plating
Preoperative carrying angle was measured as angle between the bisecting line of arm and forearm in both normal and affected side. They were treated with lateral closing wedge osteotomy and fixation with plating
No patient had functional problem resulting from the deformity as ulnar nerve palsy or posterolateral instability
Summary
Cubitus varus deformity is a common complication of malunited supracondylar fractures of humerus. The normal carrying angle at the elbow, between three to seven degrees of valgus, is lost producing a varus deformity. Medial tilt and medial rotation are the most important contributing factors for varus deformity. It comprises the components of varus, hyperextension and internal rotation in all three planes The coronal alignment deformity makes the distal forearm and hand deviate to the midline of the body ,the hyperextension produces recurvatum deformity in the sagittal plane and internal rotation deformity produces the medial tilt/rotation in the axial plane. Correction of cubitus varus in adult and fixation is challenging due to mature skeleton, inherent instability at osteotomy site, risk of delayed union and nonunion, implant failure, infection, stiffness and neurovascular complications
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