Abstract：
This study aimed to assess the clinical and radiologic outcomes of a functional brace in combination with physical therapy (FBPT) for early correction of cubitus varus in young children.
Eighteen consecutive patients with cubitus varus secondary to supracondylar fractures were enrolled between July 2017 and March 2019. We used the FBPT technique to correct varus and sagittal plane deformity for early cubitus varus in young children. The clinical evaluation included measurement of varus angulation, sagittal plane, and range of motion at three, six, and twelve months post-intervention. The clinical and radiographic results were assessed according to the Bellemore criteria.
Pre-treatment humerus-elbow-wrist (HEW) angle measured on the affected side (varus deformity) ranged between -38° and -12° (average, -23.2°) while the post-treatment HEW angle ranged between -10° and + 15° (average, 8.8°). Compared with the unaffected side, no statistically significant difference was found in the affected side post-intervention (P > 0.05). According to the Bellemore criteria, we got excellent results in fourteen patients (77.8%), good results in three patients (16.7%), and poor result in one patient (5.5%). All patients and their parents (except one patient with residual varus deformities) were satisfied with the functional and cosmetic outcomes.
The FBPT is effective for the treatment of cubitus varus in children, especially for young children within 6 months of the injury.
Eighteen consecutive patients with cubitus varus secondary to supracondylar fractures were enrolled between July 2017 and March 2019. We used the FBPT technique to correct varus and sagittal plane deformity for early cubitus varus in young children. The clinical evaluation included measurement of varus angulation, sagittal plane, and range of motion at three, six, and twelve months post-intervention. The clinical and radiographic results were assessed according to the Bellemore criteria.
Pre-treatment humerus-elbow-wrist (HEW) angle measured on the affected side (varus deformity) ranged between -38° and -12° (average, -23.2°) while the post-treatment HEW angle ranged between -10° and + 15° (average, 8.8°). Compared with the unaffected side, no statistically significant difference was found in the affected side post-intervention (P > 0.05). According to the Bellemore criteria, we got excellent results in fourteen patients (77.8%), good results in three patients (16.7%), and poor result in one patient (5.5%). All patients and their parents (except one patient with residual varus deformities) were satisfied with the functional and cosmetic outcomes.
The FBPT is effective for the treatment of cubitus varus in children, especially for young children within 6 months of the injury.
摘要：
这项研究旨在评估功能性支具结合物理疗法（FBPT）早期矫正幼儿肘内翻的临床和放射学结果。
在2017年7月至2019年3月期间，共纳入18例髁上骨折继发肘内翻患者。我们使用FBPT技术纠正幼儿早期肘内翻和矢状平面畸形。临床评估包括内翻角度的测量，矢状平面,运动范围在三点，六,干预后12个月。根据Bellemore标准评估临床和影像学结果。
在患侧（内翻畸形）测得的治疗前肱骨-肘部-腕部（HEW）角度范围在-38°至-12°之间（平均，-23.2°),而治疗后HEW角度范围在-10°和+15°之间(平均,8.8°)。与未受影响的一侧相比，干预后患侧差异无统计学意义(P>0.05)。根据Bellemore的标准,我们在14名患者中获得了优异的结果（77.8％），3名患者(16.7%)效果良好，一名患者的结果不佳（5.5％）。所有患者及其父母（除一名残留内翻畸形患者外）对功能和美容结果感到满意。
FBPT对儿童肘内翻的治疗有效，尤其是在受伤后6个月内的幼儿。
在2017年7月至2019年3月期间，共纳入18例髁上骨折继发肘内翻患者。我们使用FBPT技术纠正幼儿早期肘内翻和矢状平面畸形。临床评估包括内翻角度的测量，矢状平面,运动范围在三点，六,干预后12个月。根据Bellemore标准评估临床和影像学结果。
在患侧（内翻畸形）测得的治疗前肱骨-肘部-腕部（HEW）角度范围在-38°至-12°之间（平均，-23.2°),而治疗后HEW角度范围在-10°和+15°之间(平均,8.8°)。与未受影响的一侧相比，干预后患侧差异无统计学意义(P>0.05)。根据Bellemore的标准,我们在14名患者中获得了优异的结果（77.8％），3名患者(16.7%)效果良好，一名患者的结果不佳（5.5％）。所有患者及其父母（除一名残留内翻畸形患者外）对功能和美容结果感到满意。
FBPT对儿童肘内翻的治疗有效，尤其是在受伤后6个月内的幼儿。
