Cubitus varus (gunstock deformity), cubitus valgus, and elbow hyperextension are common complication of childhood distal humerus fracture. The deformity is unsightly, and although function is not greatly impaired, the child’s parents often request an operation to improve the appearance of the elbow. Dome osteotomy was developed by professor Tien, and was indicated for management of cubitus varus, cubitus valgus, and elbow hyperextension deformity. The dome osteotomy not only improve the outcome of humerus correction surgery and reduce the complication. We successfully improved the cosmetic and functional outcome of more than 50 children with elbow deformities. There was no nerve injury, recurrent or residual deformity after surgery. The patients’ satisfactory rate was 98.5%.
Services and Advantages:
We provide a safe and effective surgery to improve the cosmetic and functional outcome for patients with elbow deformities. The average admission duration is about four days. After surgery, the post-operated elbow will be immobilized by long arm casting for four weeks and start elbow range motion exercise immediately after cast removal.
The advantages of the Dome osteotomy for pediatric elbow deformities including
1. Provide more stable osteotomy site which improve the bone union and reduce the immobilization duration.
2. Prevent second deformity.
3. Minimal skin such as lateral condyle prominence scar formation.
4. Simultaneous management of nonunion and deformity.
Simultaneous correction multidirectional deformities.