|Long-term results of remodeling of lateral condylar prominence after lateral closed-wedge osteotomy for cubitus varus.|
|PMID: 19393939 Owner: NLM Status: MEDLINE|
|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.|
|Chul-Hyun Cho; Kwang-Soon Song; Byung-Woo Min; Ki-Cheor Bae; Kyung-Jae Lee|
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|Type: Comparative Study; Journal Article|
|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|
|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|
|Languages: eng Pagination: 478-83 Citation Subset: IM|
|Department of Orthopaedic Surgery, School of Medicine, Keimyung University, Daegu, Korea.|
|APA/MLA Format Download EndNote Download BibTex|
Bone Malalignment / etiology, surgery*
Elbow Joint / injuries*
Fracture Fixation / adverse effects, methods
Humeral Fractures / complications, radiography, surgery*
Joint Deformities, Acquired / etiology, radiography*, surgery*
Osteotomy / methods*
Range of Motion, Articular / physiology
Reoperation / methods
Severity of Illness Index
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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