To study the results of lateral closed wedge osteotomy and plating for correction of cubitus varus in adolescents and adults.
Materials and methods: This prospective study was conducted in post-graduate department of orthopaedics, Government Medical Srinagar, J&K “between” May 2012 to June 2015. A total of 12 patients with cubitus varus secondary to malunited supracondylar fracture in the age group of 15-25 years were treated by lateral closed wedge osteotomy and fixed with a plate. Patients were properly assessed preoperatively and postoperatively.
Results: A total of 12 cases with 7 males and 5 females with a mean age of 19.41 years. Most cases were right handed forming 8 of the 12 cases (66.66%). Mean carrying angle on the normal side was 9.16 degrees while mean varus deformity of the affected side was 17.16 degrees. Follow-up period ranged from 6 to 24 months. Postoperative valgus achieved was with a mean of 8.66 degrees which is close to the mean of carrying angle on normal side. Mean range of motion preoperatively was 134.16 degrees while postoperatively it was 132.5 degrees. There was a hyperextension of 10 degrees in one patient who continued to have the same in the postoperatively. One patient had loss of terminal 5-10 degrees of extension. Mean time for clinical union was 11.75 weeks. Lateral condylar prominence index improved from a mean of 5.23(ranging from 2.5-7.8) to -10.95(ranging from -5 to -18.4). Good to excellent results were observed in all patients.
Conclusion: Lateral closed wedge osteotomy with plating is a safe and effective method of correction of cubitus varus in adolescents and adults.