Treatment of Posttraumatic Cubitus Varus in the Pediatric Population with Humeral Osteotomy and External Fixation
SUMMARYCubitus varus may occur after supracondylar humerus fractures. Poor fixation, however, complicates operative treatment of cubitus varus. We discuss the use of external fixation in the treatment of cubitus varus. Five patients had humeral osteotomies with external fixation. The preoperative hu...
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| Veröffentlicht in: | Journal of pediatric orthopaedics 1996-09, Vol.16 (5), p.597-601 |
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| container_title | Journal of pediatric orthopaedics |
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| creator | Levine, Mark J Horn, B David Pizzutillo, Peter D |
| description | SUMMARYCubitus varus may occur after supracondylar humerus fractures. Poor fixation, however, complicates operative treatment of cubitus varus. We discuss the use of external fixation in the treatment of cubitus varus. Five patients had humeral osteotomies with external fixation. The preoperative humeroulnar angle (HUA) averaged -24.2°. The immediate postoperative HUA averaged 12°, and the final angle averaged 13°. Duration of external fixation averaged 8.9 weeks. Complications were one transient radial neurapraxia, one superficial pin infection, and one keloid. No loss of correction or motion occurred with external fixation; we recommend external fixation as safe and effective. |
| doi_str_mv | 10.1097/00004694-199609000-00010 |
| format | Article |
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Poor fixation, however, complicates operative treatment of cubitus varus. We discuss the use of external fixation in the treatment of cubitus varus. Five patients had humeral osteotomies with external fixation. The preoperative humeroulnar angle (HUA) averaged -24.2°. The immediate postoperative HUA averaged 12°, and the final angle averaged 13°. Duration of external fixation averaged 8.9 weeks. Complications were one transient radial neurapraxia, one superficial pin infection, and one keloid. No loss of correction or motion occurred with external fixation; we recommend external fixation as safe and effective.</description><identifier>ISSN: 0271-6798</identifier><identifier>EISSN: 1539-2570</identifier><identifier>DOI: 10.1097/00004694-199609000-00010</identifier><identifier>PMID: 8865044</identifier><identifier>CODEN: JPORDO</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott-Raven Publishers</publisher><subject>Adolescent ; Biological and medical sciences ; Child ; Evaluation Studies as Topic ; External Fixators ; Female ; Fractures, Malunited - complications ; Fractures, Malunited - diagnostic imaging ; Fractures, Malunited - surgery ; Humans ; Male ; Medical sciences ; Orthopedic surgery ; Osteotomy - methods ; Postoperative Complications - physiopathology ; Radiography ; Retrospective Studies ; Shoulder Fractures - complications ; Shoulder Fractures - diagnostic imaging ; Shoulder Fractures - surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Treatment Outcome</subject><ispartof>Journal of pediatric orthopaedics, 1996-09, Vol.16 (5), p.597-601</ispartof><rights>Lippincott-Raven Publishers.</rights><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2990-d90db590b4f3e57f6b0a2924bf9a70984934845daa1a85e6bc27e4113511216f3</citedby><cites>FETCH-LOGICAL-c2990-d90db590b4f3e57f6b0a2924bf9a70984934845daa1a85e6bc27e4113511216f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>310,311,315,781,785,790,791,23932,23933,25142,27926,27927</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3184920$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8865044$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Levine, Mark J</creatorcontrib><creatorcontrib>Horn, B David</creatorcontrib><creatorcontrib>Pizzutillo, Peter D</creatorcontrib><title>Treatment of Posttraumatic Cubitus Varus in the Pediatric Population with Humeral Osteotomy and External Fixation</title><title>Journal of pediatric orthopaedics</title><addtitle>J Pediatr Orthop</addtitle><description>SUMMARYCubitus varus may occur after supracondylar humerus fractures. Poor fixation, however, complicates operative treatment of cubitus varus. We discuss the use of external fixation in the treatment of cubitus varus. Five patients had humeral osteotomies with external fixation. The preoperative humeroulnar angle (HUA) averaged -24.2°. The immediate postoperative HUA averaged 12°, and the final angle averaged 13°. Duration of external fixation averaged 8.9 weeks. Complications were one transient radial neurapraxia, one superficial pin infection, and one keloid. No loss of correction or motion occurred with external fixation; we recommend external fixation as safe and effective.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Evaluation Studies as Topic</subject><subject>External Fixators</subject><subject>Female</subject><subject>Fractures, Malunited - complications</subject><subject>Fractures, Malunited - diagnostic imaging</subject><subject>Fractures, Malunited - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Orthopedic surgery</subject><subject>Osteotomy - methods</subject><subject>Postoperative Complications - physiopathology</subject><subject>Radiography</subject><subject>Retrospective Studies</subject><subject>Shoulder Fractures - complications</subject><subject>Shoulder Fractures - diagnostic imaging</subject><subject>Shoulder Fractures - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Treatment Outcome</subject><issn>0271-6798</issn><issn>1539-2570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkUtv3CAQgFHVKN2m_QmROFS9ueVlA8dqlTSVImUPSa9obGMtKTYbHtrk35dkt3soEoxgvhnEB0KYkm-UaPmd1CE6LRqqdUd03TV1UvIOrWjLdcNaSd6jFWGSNp3U6gP6mNJjJSQX_BydK9W1RIgVerqPFvJsl4zDhDch5RyhzJDdgNeld7kk_BtiXd2C89bijR0d5FjTm7ArvoJhwXuXt_imzDaCx3cp25DD_IJhGfHVc7ZxqcfX7vkN_oTOJvDJfj7GC_RwfXW_vmlu737-Wv-4bQamNWlGTca-1aQXE7etnLqeANNM9JMGSbQSmgsl2hGAgmpt1w9MWkEpbylltJv4Bfp66LuL4anYlM3s0mC9h8WGkoxUglPRqQqqAzjEkFK0k9lFN0N8MZSYV9vmn21zsm3ebNfSy-MdpZ_teCo86q35L8c8pAH8FGEZXDphnNZnsNc24oDtg6-20h9f9jaarQWft4ZQJijX6v-_5n8BQzSXrw</recordid><startdate>199609</startdate><enddate>199609</enddate><creator>Levine, Mark J</creator><creator>Horn, B David</creator><creator>Pizzutillo, Peter D</creator><general>Lippincott-Raven Publishers</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199609</creationdate><title>Treatment of Posttraumatic Cubitus Varus in the Pediatric Population with Humeral Osteotomy and External Fixation</title><author>Levine, Mark J ; Horn, B David ; Pizzutillo, Peter D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2990-d90db590b4f3e57f6b0a2924bf9a70984934845daa1a85e6bc27e4113511216f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Evaluation Studies as Topic</topic><topic>External Fixators</topic><topic>Female</topic><topic>Fractures, Malunited - complications</topic><topic>Fractures, Malunited - diagnostic imaging</topic><topic>Fractures, Malunited - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Orthopedic surgery</topic><topic>Osteotomy - methods</topic><topic>Postoperative Complications - physiopathology</topic><topic>Radiography</topic><topic>Retrospective Studies</topic><topic>Shoulder Fractures - complications</topic><topic>Shoulder Fractures - diagnostic imaging</topic><topic>Shoulder Fractures - surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Levine, Mark J</creatorcontrib><creatorcontrib>Horn, B David</creatorcontrib><creatorcontrib>Pizzutillo, Peter D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Levine, Mark J</au><au>Horn, B David</au><au>Pizzutillo, Peter D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of Posttraumatic Cubitus Varus in the Pediatric Population with Humeral Osteotomy and External Fixation</atitle><jtitle>Journal of pediatric orthopaedics</jtitle><addtitle>J Pediatr Orthop</addtitle><date>1996-09</date><risdate>1996</risdate><volume>16</volume><issue>5</issue><spage>597</spage><epage>601</epage><pages>597-601</pages><issn>0271-6798</issn><eissn>1539-2570</eissn><coden>JPORDO</coden><abstract>SUMMARYCubitus varus may occur after supracondylar humerus fractures. Poor fixation, however, complicates operative treatment of cubitus varus. We discuss the use of external fixation in the treatment of cubitus varus. Five patients had humeral osteotomies with external fixation. The preoperative humeroulnar angle (HUA) averaged -24.2°. The immediate postoperative HUA averaged 12°, and the final angle averaged 13°. Duration of external fixation averaged 8.9 weeks. Complications were one transient radial neurapraxia, one superficial pin infection, and one keloid. No loss of correction or motion occurred with external fixation; we recommend external fixation as safe and effective.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott-Raven Publishers</pub><pmid>8865044</pmid><doi>10.1097/00004694-199609000-00010</doi><tpages>5</tpages></addata></record> |
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| ispartof | Journal of pediatric orthopaedics, 1996-09, Vol.16 (5), p.597-601 |
| issn | 0271-6798 1539-2570 |
| language | eng |
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| subjects | Adolescent Biological and medical sciences Child Evaluation Studies as Topic External Fixators Female Fractures, Malunited - complications Fractures, Malunited - diagnostic imaging Fractures, Malunited - surgery Humans Male Medical sciences Orthopedic surgery Osteotomy - methods Postoperative Complications - physiopathology Radiography Retrospective Studies Shoulder Fractures - complications Shoulder Fractures - diagnostic imaging Shoulder Fractures - surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Treatment Outcome |
| title | Treatment of Posttraumatic Cubitus Varus in the Pediatric Population with Humeral Osteotomy and External Fixation |
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