[Reconstruction of humeroradial joint].

OBJECTIVE

Reconstruction of the anatomic axis of the upper extremity and preservation or improvement of elbow function.

INDICATIONS: Supracondylar axial deviation (cubitus varus/valgus). Limitation of range of motion. Cosmetic impairment. Psychological problems due to deformity.

CONTRAINDICATIONS: Degenerative changes of the elbow joint in adolescents and adults due to rheumatoid/anti-inflammatory disease.

SURGICAL TECHNIQUE: Three-dimensional open deformity correction of the distal humerus without wedge resection and stabilization by external fixation.

POSTOPERATIVE MANAGEMENT: Early postoperative mobilization of the elbow. Average treatment time by external fixator 10-12 weeks.

RESULTS

Between 1998 and 2006, ten children underwent surgery for posttraumatic supracondylar deformity. Correction was achieved by means of three-planar reorientation of the distal end of the humerus. An external fixator was used for stabilization. Preoperatively, all patients showed cosmetic or functional impairment. Follow-up was performed between 1 and 9 years (7.4 years) postoperatively. Subjective, clinical and radiologic criteria were evaluated. Three patients showed excellent, six good and one poor results. Two pin tract infections and one irritation of the ulnar nerve were observed during treatment.