Academic Journal
Single-Stage Double-Level Osteotomy for Complex Cubitus Varus Involving the Humerus and Ulna: A Case Report.
| Τίτλος: | Single-Stage Double-Level Osteotomy for Complex Cubitus Varus Involving the Humerus and Ulna: A Case Report. |
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| Συγγραφείς: | Miyamura S; Department of Orthopaedic Surgery, The University of Osaka, Graduate School of Medicine, Suita, Osaka, Japan., Shiode R; Department of Orthopaedic Surgery, The University of Osaka, Graduate School of Medicine, Suita, Osaka, Japan., Iwahashi T; Department of Orthopaedic Surgery, The University of Osaka, Graduate School of Medicine, Suita, Osaka, Japan., Yamamoto N; Department of Orthopaedic Surgery, The University of Osaka, Graduate School of Medicine, Suita, Osaka, Japan., Miyake T; Department of Orthopaedic Surgery, The University of Osaka, Graduate School of Medicine, Suita, Osaka, Japan., Kondo H; Department of Orthopaedic Surgery, The University of Osaka, Graduate School of Medicine, Suita, Osaka, Japan., Murase T; Department of Orthopaedic Surgery, Bell Land General Hospital, Sakai, Osaka, Japan., Tanaka H; Department of Sports Medical Science, The University of Osaka, Graduate School of Medicine, Suita, Osaka, Japan., Okada S; Department of Orthopaedic Surgery, The University of Osaka, Graduate School of Medicine, Suita, Osaka, Japan., Oka K; Department of Orthopaedic Biomaterial Science, The University of Osaka, Graduate School of Medicine, Suita, Osaka, Japan. |
| Πηγή: | JBJS case connector [JBJS Case Connect] 2026 Jun 18; Vol. 16 (2). Date of Electronic Publication: 2026 Jun 18 (Print Publication: 2026). |
| Τύπος έκδοσης: | Journal Article; Case Reports |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Wolters Kluwer Country of Publication: United States NLM ID: 101596828 Publication Model: eCollection Cited Medium: Internet ISSN: 2160-3251 (Electronic) Linking ISSN: 21603251 NLM ISO Abbreviation: JBJS Case Connect Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2016- : Philadelphia : Wolters Kluwer Original Publication: Needham, MA : Journal of Bone & Joint Surgery, Inc. |
| Ιατρικοί όροι (MeSH): | Osteotomy*/methods , Joint Deformities, Acquired*/surgery , Joint Deformities, Acquired*/diagnostic imaging , Joint Deformities, Acquired*/etiology , Humerus*/surgery , Humerus*/diagnostic imaging , Ulna*/surgery , Ulna*/diagnostic imaging , Elbow Joint*/surgery , Elbow Joint*/diagnostic imaging , Elbow Fractures*/complications , Elbow Fractures*/surgery , Elbow Fractures*/diagnostic imaging, Baseball/injuries ; Humans ; Male ; Adolescent |
| Περίληψη: | Case: A 15-year-old male baseball pitcher presented with progressive cubitus varus deformity after multiple childhood elbow fractures treated conservatively. Three-dimensional evaluation demonstrated multiplanar deformities involving both the humerus and ulna. A single-stage double-level osteotomy was performed using patient-specific cutting guides and custom-made plates. Postoperatively, alignment was restored, bone union was achieved without complications, and the patient returned to competitive sport at 5 months, remaining asymptomatic at 36 months of follow-up. Conclusion: Complex cubitus varus involving multiple skeletal segments may not be correctable with single-level osteotomy. Double-level osteotomy allows anatomical realignment while preserving elbow joint orientation, reliably achieved using three-dimensional patient-specific techniques. (Copyright © 2026 by The Journal of Bone and Joint Surgery, Incorporated.) |
| Competing Interests: | Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C894). |
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| Grant Information: | 24K19578 Japan Society for the Promotion of Science; 23K08612 Japan Society for the Promotion of Science |
| Contributed Indexing: | Keywords: computed tomography; corrective osteotomy; cubitus varus; double-level osteotomy; elbow deformity; patient-specific instrumentation; three-dimensional evaluation |
| Entry Date(s): | Date Created: 20260616 Date Completed: 20260616 Latest Revision: 20260630 |
| Update Code: | 20260701 |
| DOI: | e25.00712 |
| PMID: | 42302734 |
| Βάση Δεδομένων: | MEDLINE |
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