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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| _version_ | 1823865213583097856 |
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| author | P. Madhuchandra K. M. Pawankumar |
| author_facet | P. Madhuchandra K. M. Pawankumar |
| author_sort | P. Madhuchandra |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-31e58feb57f5439b82860e60455e7c29 |
| institution | Kabale University |
| issn | 0975-7341 2347-3746 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Orthopedics, Traumatology and Rehabilitation |
| spelling | doaj-art-31e58feb57f5439b82860e60455e7c292025-02-08T07:33:48ZengWolters Kluwer Medknow PublicationsJournal of Orthopedics, Traumatology and Rehabilitation0975-73412347-37462024-01-01161798410.4103/jotr.jotr_109_22Modified French Osteotomy for Cubitus Varus Correction – Our ExperienceP. MadhuchandraK. M. PawankumarBackground: 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.https://journals.lww.com/10.4103/jotr.jotr_109_22carrying anglecubitus varusfrench osteotomy |
| spellingShingle | P. Madhuchandra K. M. Pawankumar Modified French Osteotomy for Cubitus Varus Correction – Our Experience Journal of Orthopedics, Traumatology and Rehabilitation carrying angle cubitus varus french osteotomy |
| title | Modified French Osteotomy for Cubitus Varus Correction – Our Experience |
| title_full | Modified French Osteotomy for Cubitus Varus Correction – Our Experience |
| title_fullStr | Modified French Osteotomy for Cubitus Varus Correction – Our Experience |
| title_full_unstemmed | Modified French Osteotomy for Cubitus Varus Correction – Our Experience |
| title_short | Modified French Osteotomy for Cubitus Varus Correction – Our Experience |
| title_sort | modified french osteotomy for cubitus varus correction our experience |
| topic | carrying angle cubitus varus french osteotomy |
| url | https://journals.lww.com/10.4103/jotr.jotr_109_22 |
| work_keys_str_mv | AT pmadhuchandra modifiedfrenchosteotomyforcubitusvaruscorrectionourexperience AT kmpawankumar modifiedfrenchosteotomyforcubitusvaruscorrectionourexperience |