Correction of cubitus varus by supracondylar lateral closing wedge osteotomy

The purpose of this study was to report our experience in treating cubitus varus with closing lateral wedge osteotomy. During the period 1996 to 2003, sixteen patients underwent supracondylar osteotomies for the correction of cubitus varus. The results of surgery were assessed in 12 patients. The indication for osteotomy was cubitus varus that was cosmetically unacceptable to either the child or the parents. All patients were treated with excision of an appropriate wedge of bone from the lateral side of the lower humerus and then closing the gap. Physical examinations for the gross carrying angle and the postoperative scar were assessed. Carrying angle and range of movement were used as criteria to categorize the results. Surgery results were excellent in 8, good in 3, and poor in one patient. The most important factor affecting the outcome in our series was the loss of fixation with recurrence of the deformity which occurred in one patient. The follow up ranged from 1 to 5 years, with an average of 2 years [mean 2.3 years]. Lateral closing wedge ostetomy is a safe and effective method of correcting cubitus varus deformity in the majority of patients

Spondyloepiphyseal dysplasia tarda A report of two cases with X-linked inheritance

The aim of the study is to present two cases of a rare disease, spondyloepiphyseal dysplasia, with presentation of the clinical and radiological findings, and to review its management and prognosis. Patients and A family consisting of 19 siblings, one husband and three wives, the parents, and other family members were studied in Tafila, which is located in the southern part of Jordan. Clinical examinations were performed in addition to relevant radiological and laboratory investigations. Two brothers were affected with this disease; both of them were offspring of the third marriage. Both presented with short stature and abnormal gait, the elder being more severely affected. Spondyloepiphyeseal dysplasia is a rare disease with variable presentation according to the mode of inheritance. Genetic counseling for the involved families is essential