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Journal of the Korean Shoulder and Elbow Society 1998;1(1):58-65.
Published online March 30, 1998.
Three-Dimensional Corrective Osteotomy for Treatment of Cubitus Varus after Supracondylar Fracture of the Humerus
Poong Taek Kim, Joo Chul Ihn, Hee Soo Kyung, Seung Hoon Oh
Department of Orthopedic Surgery, School of Medicine, Kyungpook National University
상완골 과상부 골절후 발생한 내반주 변형에 대한 삼차원 교정 절골술
김풍택, 인주철, 경희수, 오승훈
경북대학교 의과대학 정형외과학교실
Abstract
Cubitus varus deformity after supracondylar fracture of the humerus in children generally includes deformities of varus, hyperextension and internal rotation. Recently almost all corrective osteotomies for treatment of the varus deformity have been limited to correction of only the varus or of the varus and hyperextension deformity. Electromyographic study has revealed unphysiological joint motion and muscle activity around the joint in elbows with cubitus varus, hyperextension and internal rotation deformity. On this basis we have successfully attempted simultaneous correction of all three deformities. The end results in ] 3 elbows have been satisfactory without any complications such as delayed union, limitation of elbow motion or nerve palsy. In conclusion, we recommend simultaneous correction of the three elements of cubitus varus deformity to restore anatomic alignment of the elbow joint.
Key Words: Cubitus varus deformity; Supracondylar fracture of the humerus; Three-dimensional osteotomy


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