Document Detail


Long-term results of remodeling of lateral condylar prominence after lateral closed-wedge osteotomy for cubitus varus.
MedLine Citation:
PMID:  19393939     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Chul-Hyun Cho; Kwang-Soon Song; Byung-Woo Min; Ki-Cheor Bae; Kyung-Jae Lee
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
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:
Created Date:  2009-04-27     Completed Date:  2009-07-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9206499     Medline TA:  J Shoulder Elbow Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  478-83     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, School of Medicine, Keimyung University, Daegu, Korea.
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MeSH Terms
Descriptor/Qualifier:
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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