Cubitus varus or Gunstock deformity correction
This deformity develops after trauma to elbow. Most common cause is a malunited supracondylar fracture followed by lateral or medial condyle fracture. Post traumatic growth arrest can also cause this deformity. Patient usually present with a cosmetic problem. Some may also complain of progression of deformity, pain, instability. They are also prone for Lateral condyle humerus fracture.
7 yrs old girl with deformity on gunstock deformity on right side |
Immediate postoperative long cast |
Postoperative correction after6 weeks |
Progressive cubitus varus due to posttraumatic medial arrest |
Distal cut marked with kwire just proximal to olecronon parallel the joint line |
Proximal wire passed to meet distal one just short of medial border, note the angle between the wires is the desired correction measured preop |
Distal most wire from lateral condyle, prepared for stabilizing ostetotomy after cuts are taken. Note proximally screw with washer for tension band wiring. |
Initially cuts are made along the wires with an oscillating small saw but medial cortex left intact. Note the osteotome in distal cut and kwire ready for insertion distally |
Intraop correction and fixation |
Postoperative xrays after 6 weeks : good correction achieved |
No comments:
Post a Comment