Usui M, Ishii S, Miyano S, Narita H, Kura H
Department of Orthopedic Surgery, Sapporo Medical University, Japan.
J Shoulder Elbow Surg. 1995 Jan-Feb;4(1 Pt 1):17-22. doi: 10.1016/s1058-2746(10)80003-5.
Cubitus varus deformity after supracondylar fracture of the humerus in children generally includes deformities of varus, hyperextension, and internal rotation. Presently almost all corrective osteotomies for treatment of cubitus varus deformity have been limited to correction of only the varus or of the varus and hyperextension deformity. Electromyographic study and stick picture motion analysis have revealed unphysiological joint motion and muscle activity around the joint in elbows with cubitus varus, hyperextension, and internal rotation deformity. On this basis we have successfully attempted simultaneous correction of all three deformities. The end results in 41 elbows have been satisfactory. In conclusion, we recommend simultaneous correction of the three elements of cubitus varus deformity to restore anatomic alignment of the elbow joint.
儿童肱骨髁上骨折后肘内翻畸形通常包括内翻、伸直过度和内旋畸形。目前，几乎所有用于治疗肘内翻畸形的矫正截骨术都仅限于仅矫正内翻或内翻与伸直过度畸形。肌电图研究和肢体运动图像分析显示，存在内翻、伸直过度和内旋畸形的肘部关节周围存在非生理性关节运动和肌肉活动。在此基础上，我们成功尝试同时矫正所有三种畸形。41例肘部的最终结果令人满意。总之，我们建议同时矫正肘内翻畸形的三个要素，以恢复肘关节的解剖对线。
