Abstract

GALLUCCI, Gerardo et al. Osteotomía en cuña sustractiva supracondílea para el tratamiento del codo valgo del adulto. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2021, vol.86, n.3, pp.316-323. ISSN 1852-7434.  http://dx.doi.org/https://doi.org/10.15417/issn.1852-7434.2021.86.3.1165.

Objective: To report the results of a series of adult patients with a valgus malunion of the elbow treated with a supracondylar subtractive monoplanar wedge osteotomy, Materials and Methods: 5 patients were included. The surgical technique consisted of a posterior paratricipital approach, with resection of a subtractive wedge and the anterior transposition of the ulnar nerve. The average follow-up was 17 months. Results: 4 patients were men and 1 woman with an average age of 27 years. The preoperative range of motion was 138°-7° and the postoperative range of motion was 138-6°. Pain according to VAS was 4 and 1, MEPS was 71 and 97, and DASH was 26 and 8, respectively. The preoperative radiological evaluation showed an average valgus of 30° with a contralateral valgus of 11º. The final valgus obtained was 13°. The final correction was, on average, 2° less than the contralateral side. All osteotomies healed and the medial prominence was on average 32%, more than before surgery. According to Oppenheim scale, the results were excellent in 4 patients and good in 1. Personal satisfaction was, on average, 8.6. Conclusions: Supracondy-lar subtractive wedge osteotomy is a good option for the treatment of adult cubitus valgus with a recovery of angular values similar to the contralateral side and a high satisfaction rate. As it is a simpler technique, compared to the multiplanar osteotomies, it is our treatment of choice for adult cubitus valgus.

Keywords : Cubitus valgus; osteotomy; subtractive wedge; malunion; supracondylar humeral fracture.

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