Lateral wedge osteotomy for pediatric post-traumatic cubitus varus: Kirschner-wires or locking angular plate?. Issue 5 (September 2017)

• Record Type: Journal Article
• Authors: Persiani, Pietro; Noia, Giovanni; de Cristo, Claudia; Graci, Jole; Gurzì, Michele D.; Villani, Ciro
• Is Part Of: Journal of pediatric orthopedics. Volume 26:Issue 5(2017)
• Publication Date: 2017-09
• Subjects: cubitus varus -- Kirschner-wires -- lateral prominence index -- locking angular plate; Pediatric orthopedics -- Periodicals; 618.927005
• DOI: 10.1097/BPB.0000000000000300
• Languages: English
• ISSNs: 1060-152X

Abstract

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.