Case report of step cut osteotomy for cubitus varus: a superior surgical technique
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20222627Keywords:
Step cut osteotomy, Cubitus varus, Lateral closing wege osteotomy, Deformity correction, Surgical techniqueAbstract
Lateral closing wedge osteotomy is a commonly described procedure for correcting cosmetically unacceptable post-traumatic cubitus varus deformity in children. We report a case of 12-year-old boy who underwent step cut osteotomy for cubitus varus deformity. Preoperative measurements of varus deformity followed by planning of osteotomy using a template was done. Intraoperatively the preplanned cuts were made using a posterior approach and then fixation was done using k wire. Patient recovered completely with correction of deformity. Step cut osteotomy has key advantages over traditional closing wedge osteotomy and hence can be used as an alternative surgical technique.
References
Shoaib M, Sultan S, Sahibzada SA, Ali A. Percutaneous pinning in displaced supracondylar fracture of humerus in children. J Ayub Med Coll Abbottabad. 2004;16(4):48-50.
Piggot J, Graham HK, McCoy GF. Supracondylar fractures of the humerus in children. Treatment by straight lateral traction. J Bone Joint Surg Br. 1986;68(4):577-83.
Oppenheim WL, Clader TJ, Smith C, Bayer M. Supracondylar humeral osteotomy for traumatic childhood cubitus varus deformity. Clin Orthop Relat Res. 1984;(188):34-9.
Takagi T, Takayama S, Nakamura T, Horiuchi Y, Toyama Y, Ikegami H. Supracondylar osteotomy of the humerus to correct cubitus varus: do both internal rotation and extension deformities need to be corrected? J Bone Joint Surg Am. 2010;92(7):1619-26.
DeRosa GP, Graziano GP. A new osteotomy for cubitus varus. Clin Orthop Relat Res. 1988;(236):160-5.
Kim HS, Jahng JS, Han DY, Park HW, Kang HJ, Chun CH. Modified step-cut osteotomy of the humerus. J Pediatr Orthop B. 1998;7(2):162-6.
Bali K, Sudesh P, Krishnan V, Sharma A, Manoharan SR, Mootha AK. Modified step-cut osteotomy for post-traumatic cubitus varus: our experience with 14 children. Orthop Traumatol Surg Res. 2011;97(7):741-9.
Mahaisavariya B, Laupattarakasem W. Rotational deformity of the distal humerus in cubitus varus. J Med Assoc Thai. 1994;77(1):19-24.
