Differentiated surgical tactics of surgery of a capitellum pseudoarthrosis of humerus with cubitus valgus deformation in children

Abstract

Actually Damages of bone structures of an elbow joint in children, according to various authors are occurred between 16 and 40% among all of skeleton fractures and makes up 50-80% from all intraarticulate damages of the upper extremity. It was required to develop of a differentiated surgical tactics for surgery of capitellum pseudoarthrosis of humerus with cubitus valgus in child aged patients, that, the cases associated with the nonunion of capitellum or the extension necrosis process, causing to be hypermobility of elbow joint and to pull of ulnar nerve. Object of research was the capitellum pseudoarthrosis with or without cubitus valgus, which is diagnosed in 59 patients, whom three types of surgical correction are spent depending on weight of deformation, prescription of the got trauma and age of the patients. The capitellum pseudoarthrosis liquidation or necrosis field resection are made in 21 (35,6%) patients, for 8 (13,6 %) patient are admitted the extraarticular supracondylar osteotomy of humerus with ulnar nerve transposition and stabilization by Ilizarov’s apparatus and other 30 (50,8 %) patients was corrected by the developing own clinic technique - «Capitellum pseudoarthorosis resection of the humerus, supracondylar osteotomy of humerus and osteosynthesis by Ilizarov’s apparatus». Conclusion We believe it is reasonable to use our repair techniques when dealing with nonunion of the lateral humeral condyle with cubitus valgus. These differential techniques help to shape the distal part of humerus, thus, restoring the function of the elbow joint.