Translational step cut osteotomy: modified technique and its initial results | [Pakistan Journal of Medical and Health Sciences • 2021]

Author(s):

1. MUMTAZ HUSSAIN: Pediatric Orthopedic Surgery Department, The Children’s Hospital Lahore, Pakistan

2. SHAHZAD ANVER QURESHI: Mayo Hospital Lahore,Pakistan

3. AYESHA SAEED: Pediatric Orthopedic Surgery Department, Children's Hospital and Institute of Child Health,Faisalabad,Pakistan

4. AFZAL HUSSAIN: PSRD Orthopaedic Hospital Lahore,Pakistan

Abstract:

Aim: To describe our experience of modified technique of translational step cut osteotomy for the correction of cubitus varus deformity in children and to access the functional outcome at 6th month of follow-up. Methods: We enrolled 27 children of either gender or side between ages from 5 to 12 years having cubitus varus deformity at our institute. After clinical and radiological workup, all children underwent correction of the deformity using modified technique of translational step cut osteotomy. Results: Mean age of children was 8.41±2.15 years and duration from initial injury to presentation was 14.2 ± 5.71 months having male predominance. The mechanism involved were fall (55.6%), followed by road traffic accident (22.2%) and playground area (22.2%). Most children had right side deformity (66.7%). 51.9% children have initial treatment from bonesetter making cosmesis and functional reasons as main factor for parents to seek medical advice. Radiological union was achieved in the mean duration of 5.00 ± .62 weeks. The mean pre-operative humeroulnar angle of the involved side was 199±10.58o and post-operative angle at the end of 6th month of the involved side was 170.62±4.12o. Conclusion: Step-cut translational osteotomy humerus is very good procedure for correction of cubitus varus deformity with negligible complications and excellent to good outcomes according to Flynn's criteria.

Page(s): 740-743

DOI: DOI not available

Published: Journal: Pakistan Journal of Medical and Health Sciences, Volume: 15, Issue: 4, Year: 2021

Keywords:

Flynns Criteria , translational step cut osteotomy , cubitus varus deformity

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