IMPROVING THE METHODS OF DIAGNOSIS AND TREATMENT OF VALGOUS DEFORMATION OF THE ELBOW JOINT
Keywords:
Articular surface of the humeral head, pseudarthrosis, osteotomy, osteosynthesisAbstract
This article analyzes data from 46 patients with valgus deformity of the elbow joint who underwent two types of surgical interventions based on the severity of the deformity, the duration of the injury, and the age of the patients. The first group of patients (n=16) underwent corrective osteotomy of the humerus above the condyles and osteosynthesis using the Ilizarov apparatus, while the second group (n=30) underwent pseudarthrosis resection and corrective osteotomy of the humerus above the condyles with osteosynthesis using the Ilizarov apparatus and screws. These methods contribute to the formation of the distal part of the humerus and the restoration of elbow joint function.
References
Азизов М.Ж., Ходжанов И.Ю., Умаров Ф.Х. Хирургическое лечение застарелых повреждений и ложных суставов головки мыщелка плечевой кости у детей // ПМ. 2016. №4 (96).
Меркулов В.Н., Багомедов Г.Г., Крупаткин А.И. Переломы го-ловочки мыщелка плечевой кости и их последствия у детей и подростков. Методы диагностики и лечения. — Рязань, 2010. — 152 с.
Лечение переломов области локтевого сустава у детей и подростков / В.Н. Меркулов, А.И. Дорохин, В.Т. Стужина и др. // Вестник травматологии и ортопедии им. Н.Н. Приорова. — 2011. — №2. — С. 38-45.
Abed Y, Nour K, Kandil YR, El-Negery A. Triple management of cubitus valgus deformity complicating neglected nonunion of fractures of lateral humeral condyle in children: A case series. Int Orthop 2018;42:375-84.
Abzug JM, Herman MJ, Kozin S. Spring. Pediatric Elbow Fractures: A Clinical Guide to Management. Cham: Springer International Publishing; 2018.
Abdelmotaal HM, Abutalib RA, Khoshhal KI. The closed wedge counter shift osteotomy for the correction of post-traumatic cubitus varus. J Pediatr Orthop B 2013;22:376-82.
Perajit Eamsobhana, Kamolporn Kaewpornsawan. Should we repair nonunion of the lateral humeral condyle in children? // International Orthopaedics (SICOT). — 2015. — Vol. 39, №8. — P. 1579-1585.
Imada H, Tanaka R, Itoh Y, Kishi K. Twenty-degree-tilt radiography for evaluation of lateral humeral condylar fracture in children. Skeletal Radiol. 2010;39:267–72.
Park, H.; Hwang, J.H.; Kwon, Y.U.; Kim, H.W. Osteosynthesis In Situ for Lateral Condyle Nonunion in Children. J. Pediatr. Orthop. 2015, 35, 334–340
Shrestha, S.; Hutchison, R.L. Outcomes for late presenting lateral condyle fractures of the humerus in children: A case series. J. Clin. Orthop. Trauma 2020, 11, 251–258.
