Reverse V osteotomy and treatment of cubitus varus deformity - Results and experience.

Abstract

Cubitus varus is a most common repercussion of malunited supracondylar fracture of humerus in paediatric age group. Initially, valgus osteotomies were in trend, but due to higher rate of complications, these procedures are not in trends today, as they were earlier. Here, we are sharing our experience and results of reverse V osteotomy done for cubitus varus. Reverse V osteotomy was done on 20 patients of cubitus varus (due to malunited supracondylar fracture of humerus). After correcting the deformity, cross K-wires and wiring (from lateral side) or Y-shaped plate was used for internal fixation. Y-shaped plate was used in older (in 20% cases) and K-wire was used for internal fixation in younger patients. All the patients underwent follow-up by clinical-radiological means and the analysis of functional outcome was done by the criteria of Oppenheim et al. Based on the Oppenheim's criteria, our results were 90% excellent and 10% good, among the 20 cases. We concluded in this study that reverse V osteotomy provides inherent stability and its stable behaviour further strengthened by internal fixation. It is a safe technique for correcting cubitus varus with aesthetic satisfaction.