Cutting edge Orthopedics

Supracondylar Humerus Fractures • 29  Fig. 21: Intraoperative photos of the patient from Fig. 20 demonstrating ( a ) resection of a wedge of the bone that was guided by Kirschner wires (removed). The cuts were Intentionally not parallel in order to correct the sagittal plane deformity. ( b ) Closure of the biplanar osteotomy site corrects the coronal and sagittal plane deformities (Courtesy of Shriners Hospital for Children, Philadelphia, PA). 59 a b Fi . 4.21 Intraoperative photos of the patient from Fig. 4.20 demonstrating ( a ) resection of a wedge of the bone that was guided by Kirschner wires (removed). The cuts were intentionally not parallel in order to correct the sagittal plane deformity. ( b ) Closure of the biplanar oste- otomy site corrects the coronal and sagittal plane deformi- ties (Courtesy of Shriners Hospital for Children, Philadelphia, PA) a b Fig. 4.22 Intraoperative images of the patient from Figs. 4.20 and 4.21 confirming ( a ) maintenance of full flexion and ( b ) successful gain of full elbow extension (Courtesy of Shriners Hospital for Children, Philadelphia, PA) Fig. 4.23 Multi-planar deformities can be corrected by a dome osteotomy. This type of osteotomy is more techni- cally challenging than a traditional closing wedge osteot- omy (Courtesy of Shriners Hospital for Children, Philadelphia, PA) 4 Supracondylar Humerus Fractures a b Fig. 4.21 Intraoperative photos of the patient from Fig. 4.20 demonstrating ( a ) resection of a wedge of the bone that was guided by Kir hner wir s (removed). The cuts were intentionally not parallel in order to correct the sagittal plane deformity. ( b ) Closure of the bip otomy site corrects the coronal and sagittal pla ties (Courtesy of Shri ers Hospital for Philadelphia, PA) a b Fig. 4.22 Intraoperative images of the patient from Figs. 4.20 and 4.21 confirming ( a ) maintenance of full flexion and ( b ) successful gain of full elbow extension Fig. 4.23 Multi-planar deformities can be cor dome osteotomy. This type of osteotomy is m cally challenging than a traditional closing we Fig. 22: Intraoperative images of the patient from Figs. 20 and 21 confirming ( a ) maintenance of full flexion and ( b ) successful gain of full elbow extension (Courtesy of Shriners Hospital for Children, Philadelphia, PA).