Shortening Dome Osteotomy for Correction of Complex Multiplanar Elbow Deformities: A New Surgical Technique.


Journal

Techniques in hand & upper extremity surgery
ISSN: 1531-6572
Titre abrégé: Tech Hand Up Extrem Surg
Pays: United States
ID NLM: 9704676

Informations de publication

Date de publication:
02 Oct 2020
Historique:
pubmed: 6 10 2020
medline: 29 10 2021
entrez: 5 10 2020
Statut: epublish

Résumé

Despite surgical advances in fracture management, it is not uncommon to find pediatric or adolescent patients with elbow deformities. Correction of severe deformities, often leaves the ingenuity of the treating surgeon asking for more. Various osteotomy techniques have been described in the literature for the correction of elbow deformities. Although, the concept of dome osteotomy did address certain inadequacies of the existing osteotomy techniques for distal humerus, but correction of complex deformities associated with deformation of trochlea and olecranon fossa still remain a surgical challenge which has not been adequately addressed in the literature so far. Our experience with the existing osteotomies for distal humerus led to the development of a new surgical technique of shortening dome osteotomy for correction of such complex multiplanar elbow deformities. Surgical steps, indications, and expected outcome is described.

Identifiants

pubmed: 33017348
pii: 00130911-202106000-00013
doi: 10.1097/BTH.0000000000000314
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

123-126

Informations de copyright

Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding.

Références

Milch H. Treatment of humeral cubitus valgus. Clin Orthop. 1955;6:120–125.
French PR. Varus deformity of the elbow following supracondylar fractures of the humerus in children. Lancet. 1959;274:439–441.
Higaki T, Ikuta Y. The new operation method of the domed osteotomy for 4 children with varus deformity of the elbow joint. J Jpn Orthop. 1982;31:300–335.
DeRosa GP, Graziano GP. A new osteotomy for cubitus varus. Clin Orthop. 1988;236:160–165.
Laupattarakasem W, Mahaisavariya B, Kowsuwon W, et al. Pentalateral osteotomy for cubitus varus. Clinical experiences of a new technique. J Bone Joint Surg Br. 1989;71:667–670.
Uchida Y, Ogata K, Sugioka Y. A new three-dimensional osteotomy for cubitus varus deformity after supracondylar fracture of the humerus in children. J Pediatr Orthop. 1991;11:327–331.
Tien Y-C, Chen J-C, Fu Y-C, et al. Supracondylar dome osteotomy for cubitus valgus deformity associated with a lateral condylar nonunion in children. J Bone Joint Surg Am. 2005;87:1456–1463.
Yun Y-H, Shin S-J, Moon J-G. Reverse V osteotomy of the distal humerus for the correction of cubitus varus. J Bone Joint Surg Br. 2007;89:527–531.
Eamsobhana P, Kaewpornsawan K. Double dome osteotomy for the treatment of cubitus varus in children. International Orthop. 2013;37:641–646.

Auteurs

Anant Krishna (A)

Department of Orthopaedics, All India Institute of Medical Sciences.

Manoj Kumar (M)

Department of Orthopaedic Surgery, Maulana Azad Medical College & Associated Lok Nayak Hospital.

Pritish Singh (P)

Department of Orthopaedic Surgery, Maulana Azad Medical College & Associated Lok Nayak Hospital.

Vikas Gupta (V)

Central Institute of Orthopaedics, Vardhman Mahavir Medical College & associated Safdarjung Hospital, New Delhi, India.

Sumit Arora (S)

Department of Orthopaedic Surgery, Maulana Azad Medical College & Associated Lok Nayak Hospital.

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