Step-cut Translation Osteotomy and Y-plate Fixation: A Novel Method for Correction of Cubitus Varus and Valgus Deformity
Volume 4 | Issue 1 | January-June 2018 | Page: 12-15 | Kumar Shashi Kant, Vikas Gupta
DOI- 10.13107/ijpo.2018.v04i01.004
Authors: Kumar Shashi Kant, Vikas Gupta [1]
Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalya, [1] Central Institute of Orthopaedics, Vardhaman Mahavir Medical College, Safdarjang Hospital, New Delhi, India
Address of Correspondence
Dr. Vikas Gupta,
Central Institute of Orthopaedics, Vardhaman Mahavir Medical College, Safdarjang Hospital, New Delhi – 110 029, India.
E-mail: drvikas@hotmail.com
Abstract
Introduction: Many types of osteotomy have been proposed for the treatment of cubitus varus and valgus deformity. All these osteotomies have their advantages and disadvantages; however, till date there is no uniform consensus as to which osteotomy is the best suited for correction of these deformities. Materials and Methods: We reviewed the results of step-cut translation osteotomy in the management of cubitus varus and cubitus valgus deformity. This study includes 27 cases of cubitus varus and five cases of cubitus valgus deformity that underwent supracondylar step-cut translation osteotomy with Y-plate fixation for correction of the deformity. Results: The results were evaluated according to the modified criteria of Oppenheim et al. There were 25 excellent, six good, and one poor result. Overall, complication rate in our series was 12.5% (4/32). There was no recurrence of deformity in the available follow-up. Conclusions: Step-cut translation osteotomy is a relatively simple procedure that corrects cubitus varus and valgus deformities without any prominence of the medial or lateral condyle. Moreover, a wide osteotomy surface and rigid fixation allows early mobilization of the joint with good clinical results.
Keywords: Cubitus valgus, Cubitus varus, Step-cut osteotomy
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| How to Cite this Article: Kant KS, Gupta V | Step-cut translation osteotomy and Y-plate fixation: A novel method for correction of cubitus varus and valgus deformity | January-June 2018; 4(1): 12-15. |
