지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.12
- 수록면
- 229 - 236 (8page)
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초록· 키워드
오류제보하기
Background: Cubitus varus and cubitus valgus deformities are common complications of distal humeral fractures in children. We evaluated the usefulness of supracondylar dome osteotomy as a treatment option for adults with cubitus varus or valgus deformity developed during childhood.
Methods: Ten patients who had received supracondylar dome osteotomy and stabilization with plates to treat cubitus varus or valgus deformity between July 2006 and August 2013 were included in this study. Their mean age at the time of surgery was 36.50 ± 10.22 years. The mean follow-up duration was 54.80 ± 32.50 months. We evaluated humerus-elbow-wrist angles (HEWA), improvements in the lateral prominence index (LPI) or medial prominence index (MPI), Mayo elbow performance scores (MEPS), and overall results in accordance with the Banerjee criteria.
Results: For the six patients with cubitus varus, the mean postoperative HEWA, mean correction angle, and mean improvement in LPI were 9.72° ± 3.95°, 27.67° ± 10.75°, and 6.92% ± 3.40%, respectively. For the four patients with cubitus valgus, the mean postoperative HEWA, mean correction angle, and mean improvement in MPI were 14.73° ± 2.97°, 11.55° ± 3.26°, and 11.33% ± 6.39%, respectively. There was no significant difference between postoperative and preoperative mean MEPS. The subjective ulnar nerve symptoms were alleviated in all patients. The overall results were excellent in six and good in four patients.
Conclusions: This study suggests that supracondylar dome osteotomy with secure fixation using double plates may be useful in correcting cubitus varus or cubitus valgus deformity, yielding good functional outcomes in adults.
Methods: Ten patients who had received supracondylar dome osteotomy and stabilization with plates to treat cubitus varus or valgus deformity between July 2006 and August 2013 were included in this study. Their mean age at the time of surgery was 36.50 ± 10.22 years. The mean follow-up duration was 54.80 ± 32.50 months. We evaluated humerus-elbow-wrist angles (HEWA), improvements in the lateral prominence index (LPI) or medial prominence index (MPI), Mayo elbow performance scores (MEPS), and overall results in accordance with the Banerjee criteria.
Results: For the six patients with cubitus varus, the mean postoperative HEWA, mean correction angle, and mean improvement in LPI were 9.72° ± 3.95°, 27.67° ± 10.75°, and 6.92% ± 3.40%, respectively. For the four patients with cubitus valgus, the mean postoperative HEWA, mean correction angle, and mean improvement in MPI were 14.73° ± 2.97°, 11.55° ± 3.26°, and 11.33% ± 6.39%, respectively. There was no significant difference between postoperative and preoperative mean MEPS. The subjective ulnar nerve symptoms were alleviated in all patients. The overall results were excellent in six and good in four patients.
Conclusions: This study suggests that supracondylar dome osteotomy with secure fixation using double plates may be useful in correcting cubitus varus or cubitus valgus deformity, yielding good functional outcomes in adults.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (28)
참고문헌 신청
[학술지(정기간행물)] - Piggot J / 1986 / Supracondylar fractures of the humerus in children. Analysis at maturity of fifty-three patients treated conservatively / J Bone Joint Surg Am 68 (8) : 1304 ~
[학술지(정기간행물)] - Gay JR / 1947 / Diagnosis and treatment of tardy paralysis of the ulnar nerve; based on a study of 100 cases / J Bone Joint Surg Am 29 (4) : 1087 ~ 1097
[학술지(정기간행물)] - Oppenheim WL / 1984 / Supracondylar humeral osteotomy for traumatic childhood cubitus varus deformity / Clin Orthop Relat Res (188) : 34 ~ 39
[학술지(정기간행물)] - Tanabu S / 1985 / Hypoplasia of the trochlea of the humerus as a cause of ulnar-nerve palsy. Report of two cases / J Bone Joint Surg Am 67 (1) : 151 ~ 154
[학술지(정기간행물)] - Gurkan I / 2002 / Posterior instability of the shoulder after supracondylar fractures recovered with cubitus varus deformity / J Pediatr Orthop 22 (2) : 198 ~ 202
[학술지(정기간행물)] - Gay JR / 1947 / Diagnosis and treatment of tardy paralysis of the ulnar nerve; based on a study of 100 cases / J Bone Joint Surg Am 29 (4) : 1087 ~ 1097
[학술지(정기간행물)] - Oppenheim WL / 1984 / Supracondylar humeral osteotomy for traumatic childhood cubitus varus deformity / Clin Orthop Relat Res (188) : 34 ~ 39
[학술지(정기간행물)] - Tanabu S / 1985 / Hypoplasia of the trochlea of the humerus as a cause of ulnar-nerve palsy. Report of two cases / J Bone Joint Surg Am 67 (1) : 151 ~ 154
[학술지(정기간행물)] - Gurkan I / 2002 / Posterior instability of the shoulder after supracondylar fractures recovered with cubitus varus deformity / J Pediatr Orthop 22 (2) : 198 ~ 202
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UCI(KEPA) : I410-ECN-0101-2017-514-001985124