Yano Koichi, Kaneshiro Yasunori, Yokoi Takuya, Sakanaka Hideki
Department of Orthopedic Surgery, Seikeikai Hospital, Sakai, JPN.
Cureus. 2022 Jul 12;14(7):e26796. doi: 10.7759/cureus.26796. eCollection 2022 Jul.
Posttraumatic cubitus varus deformity in pediatric patients may cause second fractures of the distal humerus. Corrective osteotomy is used to obtain good alignment and is generally performed for patients with prolonged deformity or bony union after fracture. We report the case of a 10-year-old boy who presented with elbow pain after falling. Plain radiography showed lateral condylar fracture and cubitus varus deformity. This injury was the fourth fracture of the same distal humerus. Open reduction and internal fixation for lateral condylar fracture and lateral closing wedge osteotomy for cubitus varus deformity were performed simultaneously. At the last follow-up, one and a half years after operation, plain radiography showed closure of the physis of the distal humerus, and coronal alignment was maintained. The patient was asymptomatic and satisfied with cosmetic issues. There was no fracture after two surgical procedures simultaneously.
小儿创伤后肘内翻畸形可能导致肱骨远端再次骨折。矫正截骨术用于获得良好的对线，通常适用于畸形持续时间较长或骨折后骨愈合的患者。我们报告了一名10岁男孩的病例，他跌倒后出现肘部疼痛。X线平片显示外侧髁骨折和肘内翻畸形。此次损伤是同一肱骨远端的第四次骨折。同时进行了外侧髁骨折的切开复位内固定和肘内翻畸形的外侧闭合楔形截骨术。在术后一年半的最后一次随访中，X线平片显示肱骨远端骨骺闭合，冠状位对线良好。患者无症状，对外观问题满意。同时进行的两次手术均未出现骨折。
