Locking plate versus K-wires and cast fixation in lateral closing-wedge osteotomy for cubitus varus deformity
BackgroundThe aim of this study was to assess the clinical and radiographic outcomes of cubitus varus treatments based on different fixation methods: Locking plate vs. Kirschner-wires (K-wires) and cast fixation.MethodsThis retrospective study of 28 patients was performed in lateral-wedge osteotomy...
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Frontiers Media S.A.
2024-02-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2024.1344283/full |
| _version_ | 1797319302550913024 |
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| author | Jianghua Liu Youzhi He Qiang Shi Yongfu Wang |
| author_facet | Jianghua Liu Youzhi He Qiang Shi Yongfu Wang |
| author_sort | Jianghua Liu |
| collection | DOAJ |
| description | BackgroundThe aim of this study was to assess the clinical and radiographic outcomes of cubitus varus treatments based on different fixation methods: Locking plate vs. Kirschner-wires (K-wires) and cast fixation.MethodsThis retrospective study of 28 patients was performed in lateral-wedge osteotomy for cubitus varus deformity in our hospital from July 2018 to July 2020. 14 patients in group A were treated by locking plate after lateral closing-wedge osteotomy, whereas other 14 patients were treated by K-wires in group B. We measured the bony union and carrying angle. The clinical and radiographic outcomes were assessed according to the Bellemore criteria.ResultsNo nonunion, neurovascular injury or myositis ossificans was noted at follow-up. In group A, 1 patient with lateral condylar prominence was found. In group B, 2 patients with pinning site infection were treated successfully with oral antibiotics and 2 patients needed revision surgery for residual varus. According to the Bellemore criteria, statistically significant difference was noted between the two groups (P = 0.0458). In the present study, no statistically significant difference was noted in the length of incision and operation time between the 2 groups (P > 0.05). However, the postoperative carrying angle was significantly different at final follow-up between the 2 groups (P < 0.01).ConclusionsCompared with K-wires and cast fixation, we recommend the wedge osteotomy with lateral locking plate to treat the cubitus varus deformity because locking plate could achieve better functional and cosmetic results and stabilize the distal humerus rigidly. |
| first_indexed | 2024-03-08T04:04:57Z |
| format | Article |
| id | doaj.art-bad124aa4c3c4fe897a7f0a8216e2e88 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-03-08T04:04:57Z |
| publishDate | 2024-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-bad124aa4c3c4fe897a7f0a8216e2e882024-02-09T07:33:48ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602024-02-011210.3389/fped.2024.13442831344283Locking plate versus K-wires and cast fixation in lateral closing-wedge osteotomy for cubitus varus deformityJianghua Liu0Youzhi He1Qiang Shi2Yongfu Wang3Department of Orthopaedics, The First Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, ChinaDepartment of Spine Surgery, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Changsha, ChinaDepartment of Spine Surgery, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Changsha, ChinaDepartment of Spine Surgery, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Changsha, ChinaBackgroundThe aim of this study was to assess the clinical and radiographic outcomes of cubitus varus treatments based on different fixation methods: Locking plate vs. Kirschner-wires (K-wires) and cast fixation.MethodsThis retrospective study of 28 patients was performed in lateral-wedge osteotomy for cubitus varus deformity in our hospital from July 2018 to July 2020. 14 patients in group A were treated by locking plate after lateral closing-wedge osteotomy, whereas other 14 patients were treated by K-wires in group B. We measured the bony union and carrying angle. The clinical and radiographic outcomes were assessed according to the Bellemore criteria.ResultsNo nonunion, neurovascular injury or myositis ossificans was noted at follow-up. In group A, 1 patient with lateral condylar prominence was found. In group B, 2 patients with pinning site infection were treated successfully with oral antibiotics and 2 patients needed revision surgery for residual varus. According to the Bellemore criteria, statistically significant difference was noted between the two groups (P = 0.0458). In the present study, no statistically significant difference was noted in the length of incision and operation time between the 2 groups (P > 0.05). However, the postoperative carrying angle was significantly different at final follow-up between the 2 groups (P < 0.01).ConclusionsCompared with K-wires and cast fixation, we recommend the wedge osteotomy with lateral locking plate to treat the cubitus varus deformity because locking plate could achieve better functional and cosmetic results and stabilize the distal humerus rigidly.https://www.frontiersin.org/articles/10.3389/fped.2024.1344283/fullcubitus varuslateral closing-wedge osteotomyK-wirelocking plateosteotomy |
| spellingShingle | Jianghua Liu Youzhi He Qiang Shi Yongfu Wang Locking plate versus K-wires and cast fixation in lateral closing-wedge osteotomy for cubitus varus deformity Frontiers in Pediatrics cubitus varus lateral closing-wedge osteotomy K-wire locking plate osteotomy |
| title | Locking plate versus K-wires and cast fixation in lateral closing-wedge osteotomy for cubitus varus deformity |
| title_full | Locking plate versus K-wires and cast fixation in lateral closing-wedge osteotomy for cubitus varus deformity |
| title_fullStr | Locking plate versus K-wires and cast fixation in lateral closing-wedge osteotomy for cubitus varus deformity |
| title_full_unstemmed | Locking plate versus K-wires and cast fixation in lateral closing-wedge osteotomy for cubitus varus deformity |
| title_short | Locking plate versus K-wires and cast fixation in lateral closing-wedge osteotomy for cubitus varus deformity |
| title_sort | locking plate versus k wires and cast fixation in lateral closing wedge osteotomy for cubitus varus deformity |
| topic | cubitus varus lateral closing-wedge osteotomy K-wire locking plate osteotomy |
| url | https://www.frontiersin.org/articles/10.3389/fped.2024.1344283/full |
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