| Long-term results of remodeling of lateral condylar prominence after lateral closed-wedge osteotomy for cubitus varus. | |
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MedLine Citation:
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PMID: 19393939 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Despite the ability of lateral closed-wedge osteotomy for cubitus varus deformity to restore carrying angle and preserve elbow motion, there have been reports of poor cosmetic appearance of the elbow because of lateral condylar prominence. METHOD: We evaluated long-term results of remodeling of lateral condylar prominence after osteotomy in 11 patients (7 of the prepuberty group, 4 of the postpuberty group). The follow-up period ranged from 4.7 to 14.2 years (average, 10). RESULTS: The mean preoperative and postoperative lateral condylar prominence index (LCPI) of the affected elbow were -1.2% and 36%, respectively. At final follow-up, the mean LCPI of the corrected elbow was 11.1%. In the prepubertal group, the mean LCPI decreased from 41.2% after surgery to 5.2% at final follow-up, whereas it decreased from 26.8% to 21.3% in the postpubertal group. The difference in reduction between the mean postoperative LCPI and the mean LCPI at final follow-up in the prepubertal group (36%) was greater than in the postpubertal group (5.4%) (P = .006). CONCLUSION: Lateral closed-wedge osteotomy is a relatively simple and effective procedure for correction of cubitus varus deformity before puberty, allowing cosmetically pleasing remodeling of lateral condylar prominence. |
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Authors:
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Chul-Hyun Cho; Kwang-Soon Song; Byung-Woo Min; Ki-Cheor Bae; Kyung-Jae Lee |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.] Volume: 18 ISSN: 1532-6500 ISO Abbreviation: J Shoulder Elbow Surg Publication Date: 2009 May-Jun |
Date Detail:
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Created Date: 2009-04-27 Completed Date: 2009-07-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9206499 Medline TA: J Shoulder Elbow Surg Country: United States |
Other Details:
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Languages: eng Pagination: 478-83 Citation Subset: IM |
Affiliation:
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Department of Orthopaedic Surgery, School of Medicine, Keimyung University, Daegu, Korea. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Age Factors Bone Malalignment / etiology, surgery* Child Child, Preschool Cohort Studies Elbow Joint / injuries* Esthetics Female Follow-Up Studies Fracture Fixation / adverse effects, methods Humans Humeral Fractures / complications, radiography, surgery* Joint Deformities, Acquired / etiology, radiography*, surgery* Male Osteotomy / methods* Patient Satisfaction Range of Motion, Articular / physiology Reoperation / methods Risk Assessment Severity of Illness Index Time Factors Treatment Outcome Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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