The Effect of Rotational Deformities on Cubitus Varus for Supracondylar Humerus Fractures in Children

Purpose: To analyze the relationship between cubitus varus deformities and rotatory abnormalities after bone union. Materials and Methods: A total of 263 patients were diagnosed with Gartland type II supracondylar humerus fractures between May 1996 and May 2003 and underwent surgery. The Gartland method was used to classify the fractures. Of the 263 cases, 141 were type II, and 122 were type III. All patients underwent subcutaneous K-wire fixation after manual reduction except one that showed open radial nerve damage at the time of trauma. A mathematical method was used to evaluate rotation abnormalities in the axial plane. Results: There was no postoperative nonunion or iatrogenic ulnar nerve palsy in 8 cases of cubitus varus deformity. Cubitus varus deformities failed to show a statistically significant correlation with malrotation in the axial plane. Conclusion: There was no relationship between rotatory abnormalities after union and cubitus varus deformities.

[1]  E. Sivertsen,et al.  [Supracondylar fractures of the humerus in children]. , 2011, Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke.

[2]  M. Schweitzer,et al.  Calculation of rotational deformity in pediatric supracondylar humerus fractures , 2007, Skeletal Radiology.

[3]  A. Crawford,et al.  The Effect of Surgical Timing on the Perioperative Complications of Treatment of Supracondylar Humeral Fractures in Children , 2001, The Journal of bone and joint surgery. American volume.

[4]  S. Harish.  Displaced supracondylar fractures of the humerus in children. , 2000, The Journal of bone and joint surgery. British volume.

[5]  L. Zionts,et al.  Torsional strength of pin configurations used to fix supracondylar fractures of the humerus in children. , 1994, The Journal of bone and joint surgery. American volume.

[6]  B. Kim,et al.  Clinical Analysis of Supracondylar Fracture of the Humerus in Children , 1992 .

[7]  P. Kallio,et al.  Difficult supracondylar elbow fractures in children: analysis of percutaneous pinning technique. , 1992, Journal of pediatric orthopedics.

[8]  C. Smith,et al.  Supracondylar Humeral Osteotomy for Traumatic Childhood Cubitus Varus Deformity , 1984, Clinical orthopaedics and related research.

[9]  P. Havránek,et al.  [Treatment of supracondylar fractures of the humerus in children]. , 1984, Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca.

[10]  M. Duhaime,et al.  Cubitus Varus Deformity Following Supracondylar Fractures of the Humerus in Children , 1982, Journal of pediatric orthopedics.

[11]  A. Eid.  Reduction of displaced supracondylar fracture of the humerus in children by manipulation in flexion. , 1978, Acta orthopaedica Scandinavica.

[12]  F. Baixauli,et al.  Percutaneous fixation of supracondylar fractures of the humerus in children. , 1977, The Journal of bone and joint surgery. American volume.

[13]  J. Fowles,et al.  Displaced supracondylar fractures of the elbow in children. A report on the fixation of extension and flexion fractures by two lateral percutaneous pins. , 1974, The Journal of bone and joint surgery. British volume.

[14]  H. S. Dodge.  Displaced supracondylar fractures of the humerus in children--treatment by Dunlop's traction. , 1972, The Journal of bone and joint surgery. American volume.

[15]  R. D'ambrosia,et al.  Supracondylar fractures of humerus--prevention of cubitus varus. , 1972, The Journal of bone and joint surgery. American volume.

[16]  M. Spinner,et al.  Anterior interosseous-nerve paralysis as a complication of supracondylar fractures of the humerus in children. , 1969, The Journal of bone and joint surgery. American volume.

[17]  Kolesnikov IuP.  Results of treating fractures of the distal end of the humerus in children , 1969 .

[18]  W. R. Welply.  Fractures in children. , 1966, Manitoba medical review.

[19]  M. A. Gruber,et al.  SUPRACONDYLAR FRACTURE OF THE HUMERUS IN CHILDHOOD. END-RESULT STUDY OF OPEN REDUCTION. , 1964, The Journal of bone and joint surgery. American volume.

[20]  L. Smith.  Deformity following supracondylar fractures of the humerus. , 1960, The Journal of bone and joint surgery. American volume.

[21]  J. M. Janes,et al.  Rupture of the brachial artery accompanying dislocation of the elbow or supracondylar fracture. , 1951, Journal of Bone and Joint Surgery. American volume.

[22]  A. L. Swenson.  The treatment of supracondylar fractures of the humerus by Kirschner-wire transfixion. , 1948, The Journal of bone and joint surgery. American volume.

[23]  E. Sandegard.  Fracture of the lower end of the humerus in children. Treatment and end results , 1943 .