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French osteotomy for cubitus varus in children: a long term study over 27 years
Background: Cubitus varus is a cosmetically unacceptable complication of supracondylar fractures of the elbow in children. We have performed the lateral closing wedge (French) osteotomy to correct the varus for 27 years. More complex osteotomies have been described to correct the associated hyperext...
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| Format: | Thesis |
| Language: | English |
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Department of Health and Rehabilitation Sciences
2016
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| _version_ | 1867613337847595008 |
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| access_status_str | Open Access |
| author | North, David Martin |
| author2 | Hoffman, E B |
| author_browse | Hoffman, E B North, David Martin |
| author_facet | Hoffman, E B North, David Martin |
| author_sort | North, David Martin |
| collection | Thesis |
| description | Background: Cubitus varus is a cosmetically unacceptable complication of supracondylar fractures of the elbow in children. We have performed the lateral closing wedge (French) osteotomy to correct the varus for 27 years. More complex osteotomies have been described to correct the associated hyperextension and internal rotation deformities and to prevent a prominent lateral condyle. Methods: We retrospectively reviewed 90 consecutive patients (1986-2012). The mean age of the patients at surgery was 8.2 years (3 to14 years). The varus angle (mean 21.4°, range 8°- 40°) was assessed pre-operatively with the humero-elbow-wrist (HEW) angle. The postoperative carrying angle (mean 10.4) and the pre- and postoperative range of movement were assessed clinically. The lateral condylar prominence index (LCPI) was retrospectively measured at union. Results: Seventy five (93.3%) of the patients had a good or excellent result. Six (6.7%) had a poor result (residual varus, loss of >20°of pre-operative range of flexion or extension or a complication necessitating repeat surgery). There were no neuro-vascular complications. The mean LCPI was +0.14. Conclusions: The results of the French osteotomy are comparable to the more technically demanding dome, step-cut translation and multi-planar osteotomies, with a lower complication rate. The literature reports adequate remodelling of the hyperextension deformity ( ≤ 10 years) patient. Level of evidence: Level IV: Case series |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/20353 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:34:32.198Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2016 |
| publishDateRange | 2016 |
| publishDateSort | 2016 |
| publisher | Department of Health and Rehabilitation Sciences |
| publisherStr | Department of Health and Rehabilitation Sciences |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/20353 French osteotomy for cubitus varus in children: a long term study over 27 years North, David Martin Hoffman, E B Orthopaedic Surgery Cubitus varus lateral closing wedge French osteotomy Background: Cubitus varus is a cosmetically unacceptable complication of supracondylar fractures of the elbow in children. We have performed the lateral closing wedge (French) osteotomy to correct the varus for 27 years. More complex osteotomies have been described to correct the associated hyperextension and internal rotation deformities and to prevent a prominent lateral condyle. Methods: We retrospectively reviewed 90 consecutive patients (1986-2012). The mean age of the patients at surgery was 8.2 years (3 to14 years). The varus angle (mean 21.4°, range 8°- 40°) was assessed pre-operatively with the humero-elbow-wrist (HEW) angle. The postoperative carrying angle (mean 10.4) and the pre- and postoperative range of movement were assessed clinically. The lateral condylar prominence index (LCPI) was retrospectively measured at union. Results: Seventy five (93.3%) of the patients had a good or excellent result. Six (6.7%) had a poor result (residual varus, loss of >20°of pre-operative range of flexion or extension or a complication necessitating repeat surgery). There were no neuro-vascular complications. The mean LCPI was +0.14. Conclusions: The results of the French osteotomy are comparable to the more technically demanding dome, step-cut translation and multi-planar osteotomies, with a lower complication rate. The literature reports adequate remodelling of the hyperextension deformity ( ≤ 10 years) patient. Level of evidence: Level IV: Case series 2016-07-14T12:24:06Z 2016-07-14T12:24:06Z 2016 Master Thesis Masters MMed http://hdl.handle.net/11427/20353 eng application/pdf Department of Health and Rehabilitation Sciences Faculty of Health Sciences University of Cape Town |
| spellingShingle | Orthopaedic Surgery Cubitus varus lateral closing wedge French osteotomy North, David Martin French osteotomy for cubitus varus in children: a long term study over 27 years |
| thesis_degree_str | Master's |
| title | French osteotomy for cubitus varus in children: a long term study over 27 years |
| title_full | French osteotomy for cubitus varus in children: a long term study over 27 years |
| title_fullStr | French osteotomy for cubitus varus in children: a long term study over 27 years |
| title_full_unstemmed | French osteotomy for cubitus varus in children: a long term study over 27 years |
| title_short | French osteotomy for cubitus varus in children: a long term study over 27 years |
| title_sort | french osteotomy for cubitus varus in children a long term study over 27 years |
| topic | Orthopaedic Surgery Cubitus varus lateral closing wedge French osteotomy |
| url | http://hdl.handle.net/11427/20353 |
| work_keys_str_mv | AT northdavidmartin frenchosteotomyforcubitusvarusinchildrenalongtermstudyover27years |