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The closed wedge counter shift osteotomy for the correction of post-traumatic cubitus varus

Abdelmotaal, Hamdy M.a; Abutalib, Raid A.b; Khoshhal, Khalid I.c

Journal of Pediatric Orthopaedics B: July 2013 - Volume 22 - Issue 4 - p 376–382
doi: 10.1097/BPB.0b013e328360c528
Upper Limb

A variety of osteotomies have been proposed to correct post-traumatic cubitus varus deformity. Each one of them has advantages and disadvantages or limitations. A new technique for correcting post-traumatic cubitus varus with closed wedge counter shift osteotomy of the distal humerus is described and the preliminary results in six cases are reported. Five patients showed excellent results and one patient showed good result. We believe that the described technique is an alternative to the other procedures for the treatment of post-traumatic cubitus varus with minimal internal rotation and hyperextension deformities. It has the advantages of being a simple, safe, inherently stable, technically sound procedure, and yields an excellent cosmetic outcome.

Departments of aOrthopedic Surgery

bOrthopedic Surgery, King Fahd Hospital

cDepartment of Orthopedic Surgery, Taibah University, Almadinah Almunawwarah, Saudi Arabia

Study conducted at King Fahd Hospital, Almadinah Almunawwarah, Saudi Arabia

Correspondence to Khalid I. Khoshhal, FRCS Ed, ABOS, Department of Pediatric Orthopedic Surgery, College of Medicine, Taibah University, PO Box 879, 41421 Almadinah Almunawwarah, Saudi Arabia Tel: +966 506 301 841; fax: +966 482 32506; e-mail:

© 2013 by Lippincott Williams & Wilkins, Inc.