Corrective dome osteotomy using the paratricipital (triceps-sparing) approach for cubitus varus deformity in children

Journal of Pediatric Orthopedics
Samik BanerjeeDilip Kumar Pal

Abstract

Dome osteotomy has been described extensively in literature to correct posttraumatic cubitus varus deformity in children. Most case series on dome osteotomy using the posterior triceps-splitting approach report a decreased postoperative range of motion (ROM). We prospectively analyzed the results of dome osteotomy using the soft-tissue preserving paratricipital, (triceps-sparing) approach with respect to correction of deformity and preservation of elbow ROM. During 2006 to 2009, 24 children with cubitus varus deformity after supracondylar humerus fracture were treated with a dome osteotomy using the triceps-sparing approach. The follow-up period varied between 22 and 36 months (average, 27.6 mo). The average interval between injury to surgery was 26.7 months. The average age of the patients was 9.2 years. The average preoperative carrying angle (humerus-elbow-wrist angle, HEW) was -17.1 degrees (range, -8 to -30 degrees), whereas the average postoperative carrying (humerus-elbow-wrist) angle was +11.7 degrees (range, -12 to +16 degrees) with a mean correction of 28.8 degrees. The average preoperative ROM in the flexion/extension arc was 126.8 degrees and the average postoperative ROM was 132.1 degrees (range, 110 to 140 degrees...Continue Reading

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Citations

Feb 14, 2013·International Orthopaedics·Perajit Eamsobhana, Kamolporn Kaewpornsawan
Jan 21, 2016·The Journal of Hand Surgery·Andrea S BauerLisa L Lattanza
Jan 17, 2016·The Orthopedic Clinics of North America·Brad T HyattJeremy K Rush
Mar 25, 2016·Journal of Orthopaedic Trauma·Travis R LiddellJames J Bresnahan
Jan 1, 2014·Current Opinion in Pediatrics·Hannah N LadenhaufJan Bauer
Aug 24, 2013·The Journal of Bone and Joint Surgery. American Volume·Sanjeev SabharwalChristopher Iobst
Jan 1, 2020·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·Divya R L PawarKent N Bachus
May 22, 2021·Foot & Ankle International·Mark E EasleyHyong Nyun Kim

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