{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T01:20:09Z","timestamp":1781313609397,"version":"3.54.1"},"reference-count":28,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2023,3,31]],"date-time":"2023-03-31T00:00:00Z","timestamp":1680220800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Correction of cubitus varus is commonly attempted through supracondylar humeral osteotomy. We hypothesized that lateral distal humeral hemiepiphysiodesis (LDHH) could be used to gradually correct this deformity in children. We conducted a retrospective study including all patients who underwent LDHH with the eight-Plate system between 2008 and 2018, with a minimum 4-year follow-up. We collected demographic, fracture-related, pre- and postoperative clinical (carrying angle (CA), ROM), and radiological data (humeral-ulnar angle (HUA), Baumann angle (BA), shaft-condylar angle (SCA), lateral capitellohumeral angle (LCHA)), as well as data on complications and satisfaction at last follow-up. Fifteen patients were included, with a median follow-up of 81 (64\u2013103) months. All the variables had improved significantly as follows: CA \u221216 (\u221218 to \u22129)\u00b0, HUA \u221216 (\u221219 to \u221212)\u00b0, BA \u221211 (\u221217 to \u22127)\u00b0, SCA 7.5 (3.3 to 13.8)\u00b0, LCHA \u22124.8 (\u22126.8 to 0.6), flexion 10 (0 to 24)\u00b0, and extension 10 (0 to 10)\u00b0. The annual correction rate in terms of HUA was 2.41\u00b0 (1.9 to 3.2). There were 5 cases of aseptic screw loosening, 4 of them requiring replacement, without relation to age at surgery (p = 0.324). Most patients (86.67%) were satisfied, and a relationship was found with younger age at surgery (p = 0.037). In conclusion, preliminary results show that LDHH with the eight-Plate system is an effective technique for mild to moderate cubitus varus deformity correction in children. Patients should be advised of the relatively long duration of implant retention and the possibility of reoperation for screw replacement or implant removal.<\/jats:p>","DOI":"10.3390\/jcm12072632","type":"journal-article","created":{"date-parts":[[2023,4,3]],"date-time":"2023-04-03T02:10:13Z","timestamp":1680487813000},"page":"2632","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Guided Growth for the Treatment of Cubitus Varus in Children: Medium- to Long-Term Results"],"prefix":"10.3390","volume":"12","author":[{"given":"Sergio","family":"Mart\u00ednez-\u00c1lvarez","sequence":"first","affiliation":[{"name":"Pediatric Orthopaedics, Orthopaedic Surgery and Traumatology Department, Hospital Infantil Universitario Ni\u00f1o Jes\u00fas, Av. de Men\u00e9ndez Pelayo 65, 28009 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9074-9215","authenticated-orcid":false,"given":"Mar\u00eda","family":"Gal\u00e1n-Olleros","sequence":"additional","affiliation":[{"name":"Pediatric Orthopaedics, Orthopaedic Surgery and Traumatology Department, Hospital Infantil Universitario Ni\u00f1o Jes\u00fas, Av. de Men\u00e9ndez Pelayo 65, 28009 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Alonso-Hern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Pediatric Orthopaedics, Orthopaedic Surgery and Traumatology Department, Hospital Infantil Universitario Ni\u00f1o Jes\u00fas, Av. de Men\u00e9ndez Pelayo 65, 28009 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"Vara-Patudo","sequence":"additional","affiliation":[{"name":"Pediatric Orthopaedics, Orthopaedic Surgery and Traumatology Department, Hospital Infantil Universitario Ni\u00f1o Jes\u00fas, Av. de Men\u00e9ndez Pelayo 65, 28009 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Miranda-Gorozarri","sequence":"additional","affiliation":[{"name":"Pediatric Orthopaedics, Orthopaedic Surgery and Traumatology Department, Hospital Infantil Universitario Ni\u00f1o Jes\u00fas, Av. de Men\u00e9ndez Pelayo 65, 28009 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1ngel","family":"Palaz\u00f3n-Quevedo","sequence":"additional","affiliation":[{"name":"Pediatric Orthopaedics, Orthopaedic Surgery and Traumatology Department, Hospital Infantil Universitario Ni\u00f1o Jes\u00fas, Av. de Men\u00e9ndez Pelayo 65, 28009 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,3,31]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/j.joca.2017.10.004","article-title":"Altered bone density and stress distribution patterns in long-standing cubitus varus deformity and their effect during early osteoarthritis of the elbow","volume":"26","author":"Miyamura","year":"2018","journal-title":"Osteoarthr. 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