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Surgical Treatment with Nonunion of the Lateral Humeral Condyle of Humerus with Cubitus Valgus in Children using Apparat Ilizarov

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Author(s): Ilkhom E. KHUJANAZAROV | Iskandar U. KHODJANOV

Journal: European Medical, Health and Pharmaceutical Journal
ISSN 1804-5804

Volume: 1;
Start page: 26;
Date: 2011;
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Keywords: HUMERUS | ILIZAROV | HUMERAL CONDYLE

ABSTRACT
Background. Nonunion of the lateral humeral condyle areof the complex pathology of the elbow joint, occurringrelatively often and resulting in disability of children.The treatment of nonunion of the lateral humeral condyle ofhumerus with cubitus valgus remains controversial. Purposeof this report was improvement of the results of surgicaltreatment of the nonunion of the lateral humeral condyle ofhumerus with cubitus valgus of the lateral humeral condyleof humerus with cubitus valgus with use of differentialapproach to the surgical strategy.Material and methods. We were observing 28 children (17boys and 11 girls) with nonunion and longstandingnonunion of lateral condyle of humerus, with variousdegrees of severity. There were used MRI and Xrayinvestigations for differential study of the patients dividedinto 3 groups in relation to stability and nonstabilityof thenonunion of the lateral humeral condyle of humerus withcubitus valgus of the lateral humeral condyle of humeruswith cubitus valgus.Results. All 28 patients lateral humeral condyle nonunionswith cubitus valgus achieved union within sixty five daysafter operative procedure using Ilisarov’s technique. Themean postoperative humerusulnaangle was 6,0 degreesof cubitus valgus. All of reverse Tosteothomieshealeduneventfully, and there was no loss of correctionpostoperatively. The mean duration of followupwas 7years. The overall results were excellent in 15(53,5%)patients, good in 11(39,3%) patients, and fair in 2(7,2%)patients. All 28 patients lateral humeral condyle nonunionswith cubitus valgus achieved union within sixty five daysafter operative procedure using Ilisarov’s technique. Themean postoperative humerusulnaangle was 6,0 degreesof cubitus valgus. All of reverse Tosteothomieshealeduneventfully, and there was no loss of correctionpostoperatively. The mean duration of followupwas 7years. The overall results were excellent in 15(53,5%)patients, good in 11(39,3%) patients, and fair in 2(7,2%)patients.Conclusion. We believe it is reasonable to use our treatmentmethod when dealing with nonunion of the lateral humeralcondyle with cubitus valgus. These differential techniqueshelps to shape the distal part of humerus, thus, restoring thefunction of the elbow joint.
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