1. Lateral wedge osteotomy for pediatric post-traumatic cubitus varus: Kirschner-wires or locking angular plate?
- Author
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Persiani P, Noia G, de Cristo C, Graci J, Gurzì MD, and Villani C
- Subjects
- Child, Elbow Joint diagnostic imaging, Female, Follow-Up Studies, Humans, Internal Fixators standards, Male, Retrospective Studies, Bone Plates standards, Bone Wires standards, Elbow Joint surgery, Osteotomy instrumentation, Osteotomy standards, Elbow Injuries
- Abstract
This study aimed to evaluate and compare two types of internal fixation, locking angular plate (group 1) and Kirschner-wires (group 2), for post-traumatic cubitus varus. The parameters used were Laupattarakasem's criteria (for range of motion in extension/flexion, correction of carrying angle, and the 'lazy S' deformity) and the Barrett's questionnaire (for patient satisfaction). In group I (plate+screws), we had three excellent results and five good. In group II (Kirschner-wires), we had two good results, three fair, and two poor. Statistical analysis showed a better outcome for group I (plate+screws) considering the correction of the humeral-elbow-wrist angle (P<0.003), the postoperative lateral prominence index (P<0.048), and the patient satisfaction (P<0.011). We recommend the locking angular plate, because it can rigidly stabilize the osteotomy, ensuring an excellent functional and cosmetic outcome.
- Published
- 2017
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