Department of Spine Surgery, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Changsha, 410018, People's Republic of China.
Department of Pediatric Orthopedics, Shantou University Guangzhou Huaxin Orthopedic Hospital, Guangzhou, 510507, People's Republic of China.
BMC Pediatr. 2022 Sep 3;22(1):523. doi: 10.1186/s12887-022-03578-7.
This study aimed to assess the clinical and radiologic outcomes of a functional brace in combination with physical therapy (FBPT) for early correction of cubitus varus in young children.
Eighteen consecutive patients with cubitus varus secondary to supracondylar fractures were enrolled between July 2017 and March 2019. We used the FBPT technique to correct varus and sagittal plane deformity for early cubitus varus in young children. The clinical evaluation included measurement of varus angulation, sagittal plane, and range of motion at three, six, and twelve months post-intervention. The clinical and radiographic results were assessed according to the Bellemore criteria.
Pre-treatment humerus-elbow-wrist (HEW) angle measured on the affected side (varus deformity) ranged between -38° and -12° (average, -23.2°) while the post-treatment HEW angle ranged between -10° and + 15° (average, 8.8°). Compared with the unaffected side, no statistically significant difference was found in the affected side post-intervention (P > 0.05). According to the Bellemore criteria, we got excellent results in fourteen patients (77.8%), good results in three patients (16.7%), and poor result in one patient (5.5%). All patients and their parents (except one patient with residual varus deformities) were satisfied with the functional and cosmetic outcomes.
The FBPT is effective for the treatment of cubitus varus in children, especially for young children within 6 months of the injury.
本研究旨在评估功能支具联合物理治疗（FBPT）在早期矫正儿童肘内翻畸形中的临床和影像学结果。
2017 年 7 月至 2019 年 3 月，连续纳入 18 例因髁上骨折导致的肘内翻患儿。我们采用 FBPT 技术早期矫正儿童肘内翻的内翻和矢状面畸形。临床评估包括术后 3、6 和 12 个月时测量内翻角度、矢状面和活动范围。根据 Bellemore 标准评估临床和影像学结果。
患侧肱骨-肘-腕（HEW）角术前测量值为-38°至-12°（平均为-23.2°），术后为-10°至+15°（平均为 8.8°）。与健侧相比，术后患侧无统计学差异（P＞0.05）。根据 Bellemore 标准，14 例（77.8%）患者获得优良结果，3 例（16.7%）患者获得良好结果，1 例（5.5%）患者获得较差结果。所有患者及其家长（除 1 例残留内翻畸形外）对功能和美容结果均满意。
FBPT 对儿童肘内翻的治疗有效，尤其是对伤后 6 个月内的儿童。
