Modified French Osteotomy for Cubitus Varus Correction – Our Experience
Background: Various fixation techniques have been described for the osteotomy for correction of cubitus varus. K-wiring was used in the past for fixation. However, rates of fixation failure and pin-track infection were high. Fixation with two screws and a figure-of-eight wiring provides a stable fix...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-01-01
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| Series: | Journal of Orthopedics, Traumatology and Rehabilitation |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jotr.jotr_109_22 |
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| Summary: | Background:
Various fixation techniques have been described for the osteotomy for correction of cubitus varus. K-wiring was used in the past for fixation. However, rates of fixation failure and pin-track infection were high. Fixation with two screws and a figure-of-eight wiring provides a stable fixation in children younger than 15 years. We used a modified lateral approach and figure-of-eight construct with two screws and evaluated the outcome of the results.
Materials and Methods:
Thirty-five patients out of the total 54 patients who underwent modified French osteotomy between January 2013 and December 2021 were evaluated in a retrospective manner. Patients were evaluated using the modified Mayo elbow performance scoring system.
Results:
There were 22 males and 13 females in the study group. We had excellent results in 16 cases, good outcome in 13 cases and fair outcome in 6 of our cases. Superficial infection was seen in three patients and four patients had occasional negligible pain. There was no loss of correction and fixation failures in our study.
Conclusion:
Modified French osteotomy using two screws and figure-of-eight wiring is a simple and safe procedure that gives excellent outcomes. A careful preoperative planning, careful surgical technique, and stable fixation are key to achieve excellent and good functional outcomes. |
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| ISSN: | 0975-7341 2347-3746 |