PACS and Photoshop assisted isosceles triangle osteotomy and Kirschner wire tension buckle fixation in the treatment of cubitus varus in children.
10.12200/j.issn.1003-0034.2023.02.017
- Author:
Chuan-Wei ZHANG
1
;
Xing-Po DING
1
;
Deng-Shan CHEN
1
;
Lei WANG
1
Author Information
1. Department of Child Orthopedics, Luoyang Orthopedic-Traumatological Hospital of Henan Province Henan Provincial Orthopedic Hospital Zhengzhou Hospital District, Zhengzhou 450000, Henan, China.
- Publication Type:Journal Article
- Keywords:
Cubitus varus;
Isoscelic triangle osteotomy;
PACS
- MeSH:
Male;
Female;
Humans;
Child;
Child, Preschool;
Adolescent;
Humeral Fractures/surgery*;
Bone Wires;
Retrospective Studies;
Humerus/surgery*;
Treatment Outcome;
Elbow Joint/surgery*;
Osteotomy;
Joint Deformities, Acquired/surgery*;
Range of Motion, Articular
- From:
China Journal of Orthopaedics and Traumatology
2023;36(2):181-184
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the clinical efficacy of picture archiving and communication system (PACS) and Photoshop assisted isosceles triangle osteotomy and Kirschner wire fixation with tension band in the treatment of cubitus varus in children.
METHODS:The clinic data of 20 children with cubitus varus treated with isosceles triangle osteotomy of distal humerus and Kirschner wire fixation with tension band from October 2014 to October 2019, were retrospectively analyzed. There were 13 males and 7 females, aged from 3.2 to 13.5 years old, the median age was 6.65 years old. PACS system was applied for the osteotomy design preoperatively, simulating and measuring the side length of isosceles triangle osteotomy. Then, Photoshop system was used to simulate the preoperative and postoperative osteotomy graphics, which could guide precise osteotomy during operation.
RESULTS:All the 20 patients were followed up for 20 to 24 months, with a median of 22.5 months. At the last follow-up, the carrying angle of the affected limb was 5 ° to 13 °, with a median of 8.3 °. The clinical efficacy was evaluated according to the Flynn elbow function score:excellent in 16 cases, good in 2 cases, and fair in 2 cases.
CONCLUSION:The treatment of cubitus varus in children by isosceles triangle osteotomy and Kirschner wire fixation with tension band assisted by PACS and Photoshop system has shown good clinical outcome.
