cubitus varus osteotomy

Elbow varus above 1.10° and elbow valgus above 20°, forming a severely deformed adult or child with dysfunction. 2. Elbow valgus with ulnar nerve dysfunction. Treatment of diseases: elbow varus deformity elbow joint tuberculosis Indication Elbow varus above 1.10° and elbow valgus above 20°, forming a severely deformed adult or child with dysfunction. 2. Elbow valgus with ulnar nerve dysfunction. Preoperative preparation One week before the operation, the patients were fed nutritious and digestible foods. Those with weak constitution can supplement the appropriate amount of protein and vitamins by oral or intravenous infusion. 3 days before surgery, routine orthopedic preparation, that is, on the first and second days, first wash the area with soapy water, disinfect the skin with iodine, ethanol and then use a sterile towel; on the third day, shave the hair, brush, disinfect and use Wrap the sterile towel. Carefully check the determined preparations before the operation. A sedative can be given that night to ensure a good sleep. If the body temperature rises, or women's menstrual cramps, etc., the date of surgery is delayed. Before entering the operating room, the patient empties the urine; the catheter is placed in accordance with the length of the operation, so that the bladder is in an empty state. Surgical procedure 1. The medial longitudinal incision of the elbow. 2. Cut the skin and peel off under the deep fascia. Pay attention to protecting the medial cutaneous nerve of the forearm. 3. Dissection and separation of the medial muscle space of the upper arm. 4. Cut off the medial muscle space. 5. Free ulnar nerve from the ulnar nerve groove. See the ulnar nerve has obvious impression and become rough. 6, stripping the outer membrane, for nerve relaxation. 7. The ulnar nerve is placed subcutaneously, and the local sarcolemma and soft tissue are used as a tunnel to control the ulnar nerve that moves forward, avoiding slipping back to the original position. The width of the tunnel can be passed through the little finger. Or use the ulnar nerve under the shallow. The flexor muscles were cut from the starting point of the iliac crest and the ulnar nerve was placed under the muscle. 8. The flexor muscle group and the starting point are sutured with 4 needles to reconstruct the muscle origin. 9. The muscle starting point is rebuilt. 10, the muscle tunnel can pass the little finger. 11. Close the wound.