Kasirajan Saravanan, Govindasamy Rajesh, Lokayah Suresh Krishna
Department of Orthopaedics, Vinayaka Missions Medical College Hospital and Research Institute, Karaikal, India.
J Clin Orthop Trauma. 2021 Feb 4;16:202-207. doi: 10.1016/j.jcot.2021.01.008. eCollection 2021 May.
Modified French osteotomy is commonly used method for the correction of cubitus varus deformity. Fixation of the osteotomy with figure of 8 wiring or 3.5 mm cortical screws were found to be insufficient in holding the distal fragment in children above 8 years. In this study we used a Reconstruction locking plate for the fixation of osteotomy in those children and evaluated the results.
Modified French osteotomy and fixation with reconstruction locking compression plate was performed for eighteen cases of cubitus varus deformity within the time period of 5 years starting from March 2014 to February 2019.
The outcome of the study was assessed with Flynn's criteria, where 12 cases had excellent and 6 cases had good outcome. There were no complications and no revision surgeries were performed.
Reconstruction locking plate fixation of a modified French osteotomy in older children (above 8 years) provided excellent results in our study.
改良式法国截骨术是矫正肘内翻畸形常用的方法。对于8岁以上儿童，采用8字钢丝或3.5毫米皮质骨螺钉固定截骨术，发现不足以固定远端骨块。在本研究中，我们对这些儿童使用重建锁定钢板固定截骨术并评估结果。
从2014年3月至2019年2月的5年时间内，对18例肘内翻畸形患者进行改良式法国截骨术并用重建锁定加压钢板固定。
采用弗林标准评估研究结果，其中12例结果为优，6例结果为良。无并发症发生，未进行翻修手术。
在我们的研究中，对大龄儿童（8岁以上）改良式法国截骨术采用重建锁定钢板固定取得了优异的效果。
