{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:43:21Z","timestamp":1787755401568,"version":"build-2784847793"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"crossref","award":["24K19578"],"award-info":[{"award-number":["24K19578"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"crossref","award":["23K08612"],"award-info":[{"award-number":["23K08612"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00712","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T22:04:17Z","timestamp":1781647457000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Single-Stage Double-Level Osteotomy for Complex Cubitus Varus Involving the Humerus and Ulna"],"prefix":"10.2106","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2245-5554","authenticated-orcid":false,"given":"Satoshi","family":"Miyamura","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, The University of Osaka, Graduate School of Medicine, Suita, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3148-0399","authenticated-orcid":false,"given":"Ryoya","family":"Shiode","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The University of Osaka, Graduate School of Medicine, Suita, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5782-5191","authenticated-orcid":false,"given":"Toru","family":"Iwahashi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The University of Osaka, Graduate School of Medicine, Suita, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4478-1789","authenticated-orcid":false,"given":"Natsuki","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The University of Osaka, Graduate School of Medicine, Suita, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7404-2460","authenticated-orcid":false,"given":"Tasuku","family":"Miyake","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The University of Osaka, Graduate School of Medicine, Suita, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5348-7762","authenticated-orcid":false,"given":"Hiroki","family":"Kondo","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The University of Osaka, Graduate School of Medicine, Suita, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5628-5891","authenticated-orcid":false,"given":"Tsuyoshi","family":"Murase","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Bell Land General Hospital, Sakai, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8622-7422","authenticated-orcid":false,"given":"Hiroyuki","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Sports Medical Science, The University of Osaka, Graduate School of Medicine, Suita, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5107-8209","authenticated-orcid":false,"given":"Seiji","family":"Okada","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The University of Osaka, Graduate School of Medicine, Suita, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7770-4634","authenticated-orcid":false,"given":"Kunihiro","family":"Oka","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Biomaterial Science, The University of Osaka, Graduate School of Medicine, Suita, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4]]},"reference":[{"key":"bib1-20260801","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1097\/01.blo.0000152439.43810.11","article-title":"Late presentation of supracondylar fracture of the humerus in children","volume":"431","author":"Devnani","year":"2005","journal-title":"Clin Orthop Relat Res"},{"issue":"2","key":"bib2-20260801","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1302\/0301-620X.82B2 .9570","article-title":"Displaced supracondylar fractures of the humerus in children. 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