French osteotomy for cubitus varus in children: a long term study over 27 years

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dc.contributor.advisorHoffman, E Ben_ZA
dc.contributor.authorNorth, David Martinen_ZA
dc.date.accessioned2016-07-14T12:24:06Z
dc.date.available2016-07-14T12:24:06Z
dc.date.issued2016en_ZA
dc.description.abstractBackground: Cubitus varus is a cosmetically unacceptable complication of supracondylar fractures of the elbow in children. We have performed the lateral closing wedge (French) osteotomy to correct the varus for 27 years. More complex osteotomies have been described to correct the associated hyperextension and internal rotation deformities and to prevent a prominent lateral condyle. Methods: We retrospectively reviewed 90 consecutive patients (1986-2012). The mean age of the patients at surgery was 8.2 years (3 to14 years). The varus angle (mean 21.4°, range 8°- 40°) was assessed pre-operatively with the humero-elbow-wrist (HEW) angle. The postoperative carrying angle (mean 10.4) and the pre- and postoperative range of movement were assessed clinically. The lateral condylar prominence index (LCPI) was retrospectively measured at union. Results: Seventy five (93.3%) of the patients had a good or excellent result. Six (6.7%) had a poor result (residual varus, loss of >20°of pre-operative range of flexion or extension or a complication necessitating repeat surgery). There were no neuro-vascular complications. The mean LCPI was +0.14. Conclusions: The results of the French osteotomy are comparable to the more technically demanding dome, step-cut translation and multi-planar osteotomies, with a lower complication rate. The literature reports adequate remodelling of the hyperextension deformity ( ≤ 10 years) patient. Level of evidence: Level IV: Case seriesen_ZA
dc.identifier.apacitationNorth, D. M. (2016). <i>French osteotomy for cubitus varus in children: a long term study over 27 years</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Department of Health and Rehabilitation Sciences. Retrieved from http://hdl.handle.net/11427/20353en_ZA
dc.identifier.chicagocitationNorth, David Martin. <i>"French osteotomy for cubitus varus in children: a long term study over 27 years."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Department of Health and Rehabilitation Sciences, 2016. http://hdl.handle.net/11427/20353en_ZA
dc.identifier.citationNorth, D. 2016. French osteotomy for cubitus varus in children: a long term study over 27 years. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - North, David Martin AB - Background: Cubitus varus is a cosmetically unacceptable complication of supracondylar fractures of the elbow in children. We have performed the lateral closing wedge (French) osteotomy to correct the varus for 27 years. More complex osteotomies have been described to correct the associated hyperextension and internal rotation deformities and to prevent a prominent lateral condyle. Methods: We retrospectively reviewed 90 consecutive patients (1986-2012). The mean age of the patients at surgery was 8.2 years (3 to14 years). The varus angle (mean 21.4°, range 8°- 40°) was assessed pre-operatively with the humero-elbow-wrist (HEW) angle. The postoperative carrying angle (mean 10.4) and the pre- and postoperative range of movement were assessed clinically. The lateral condylar prominence index (LCPI) was retrospectively measured at union. Results: Seventy five (93.3%) of the patients had a good or excellent result. Six (6.7%) had a poor result (residual varus, loss of >20°of pre-operative range of flexion or extension or a complication necessitating repeat surgery). There were no neuro-vascular complications. The mean LCPI was +0.14. Conclusions: The results of the French osteotomy are comparable to the more technically demanding dome, step-cut translation and multi-planar osteotomies, with a lower complication rate. The literature reports adequate remodelling of the hyperextension deformity ( ≤ 10 years) patient. Level of evidence: Level IV: Case series DA - 2016 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2016 T1 - French osteotomy for cubitus varus in children: a long term study over 27 years TI - French osteotomy for cubitus varus in children: a long term study over 27 years UR - http://hdl.handle.net/11427/20353 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/20353
dc.identifier.vancouvercitationNorth DM. French osteotomy for cubitus varus in children: a long term study over 27 years. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Department of Health and Rehabilitation Sciences, 2016 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/20353en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentDepartment of Health and Rehabilitation Sciencesen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherOrthopaedic Surgeryen_ZA
dc.subject.otherCubitus varusen_ZA
dc.subject.otherlateral closing wedgeen_ZA
dc.subject.otherFrench osteotomyen_ZA
dc.titleFrench osteotomy for cubitus varus in children: a long term study over 27 yearsen_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMMeden_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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