Correction of Cubitus Varus with Lateral Closed Wedge Osteotomy and Cross K-Wire Fixation
Bibliographic record
Abstract
Abstract Objective: In children the occurrence of arm injury is frequent as they have immature skeletal. Malunion of supracondylar fractures often leads to cubitus varus, or "gunstock deformity." Various correctiveosteotomies have been described for the correction of cubitus varus. A study was conducted for evaluation of good results in patients after lateral closed wedge osteotomy with cross K wire Fixation. Methods & Materials: Lateral closed wedgeosteotomy was performed on nineteen children having cubitus varus due to malunion, which was fixed using Cross K-wire. Evaluation of patients was done for carrying angle, elbow range of motion radiological correction of humeroulnar angle and complications,if any. Before osteotomy procedure application to calculate amount of deformity humeroulnar angle was drawn on X-rays by intersection of the long axis of the humerus and ulna. In the two patients having anterior bony bump, bumpectomy was also done to improve flexion. Results: All patients were healed by 8 weeks and K-wires were removed without any anesthesia. One patient had inadequate correction.Superficial pin tract infections was developed in two patientswhich was cured successfully by oral antibiotics and pin tract dressings.No neurovascular complications occurred. There was no loss of correction or pin loosening. Sixteen patients had excellent result, whereas three patients had fair result as per Bellmore’s criteria. Conclusion: It is not necessary to apply Complex three-dimensional osteotomy for cubitus varus correction.With proper planning and execution simple lateral closed wedge osteotomy cross K-wires (cross kirschner wire) fixation can give good results.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".