Supracondylar osteotomy for the treatment of cubitus varus in children: A systematic review

D. A. Solfelt, B. W. Hill, C. P. Anderson, P. A. Cole

Research output: Contribution to journalReview articlepeer-review

28 Scopus citations

Abstract

Cubitus varus is the most frequent complication following the treatment of supracondylar humeral fractures in children. We investigated data from publications reporting on the surgical management of cubitus varus found in electronic searches of Ovid/MEDLINE and Cochrane Library databases. In 894 children from 40 included studies, the mean age at initial injury was 5.7 years (3 to 8.6) and 9.8 years (4 to 15.7) at the time of secondary correction. The four osteotomy techniques were classified as lateral closing wedge, dome, complex (multiplanar) and distraction osteogenesis. A mean angular correction of 27.6° (18.5° to 37.0°) was achieved across all classes of osteotomy. The meta-analytical summary estimate for overall rate of good to excellent results was 87.8% (95% CI 84.4 to 91.2). No technique was shown to significantly affect the surgical outcome, and the risk of complications across all osteotomy classes was 14.5% (95% CI 10.6 to 18.5). Nerve palsies occurred in 2.53% of cases (95% CI 1.4 to 3.6), although 78.4% were transient. No one technique was found to be statistically safer or more effective than any other.

Original languageEnglish (US)
Pages (from-to)691-700
Number of pages10
JournalBone and Joint Journal
Volume96 B
Issue number5
DOIs
StatePublished - May 2014

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Copyright 2017 Elsevier B.V., All rights reserved.

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