Modified supracondylar dome osteotomy: our experience in 11 children


  • Abhinav . Hardinge Medical College and RML Hospital, New Delhi, India
  • Ajoy Kumar Manav Department of Orthopaedics, Patna Medical College and Hospital, Patna, Bihar, India
  • Arjun Singh Department of Orthopaedics, Patna Medical College and Hospital, Patna, Bihar, India



Modified supracondylar dome osteotomy, K-wires, Cubitus varus, Posterior approach


Background: The present retrospective study was done with 11 children having cubitus varus following supracondylar fractures to access the stability of modified domeosteotomy and its fixation with k-wires in older children.

Methods: 11 children, 7 males & 4 females were included in the study. The osteotomy was performed through posterior approach. The triangular wedge rotated inside the notch was inherently stable and also fixed with k-wires. Patients were followed at regular intervals. K wires were removed at 6 weeks and the physiotherapy started.

Results: The correction obtained under vision was well maintained post operatively in 10 out of 11 cases. In only one case there was back out of k-wires and loss of correction. 5 cases had excellent result followed by 4 good and one fair result.

Conclusions: Modified dome osteotomy performed through posterior approach and fixed with k-wires gives good results. Removal of the k-wires is simple. However, in children above 14 years plate fixation might be better to prevent loss of correction.

Author Biography

Abhinav ., Hardinge Medical College and RML Hospital, New Delhi, India

orthopaedics, senior resident


Myint S, Molitor P. Dome osteotomy with T-plate fixation for cubitus varus deformity in an adult patient. J R Coll Surg Edinb. 1998;43(5):353-4.

Rockwood C, Beaty J, Kasser J. Rockwood and Wilkins' Fractures in Children. 7th ed. Philadelphia: Lippincott, Williams & Wilkins; 2010: 500-531.

McCoy G, Piggot J. Supracondylar osteotomy for cubitus varus. The value of the straight arm position. J Bone Joint Surg Br. 1988;70(2):283-6.

Shoaib M, Sultan S, Sahibzada S, Ali A. Percutaneous pinning in displaced supracondylar fracture of humerus in children. J Ayub Med Coll Abottabad. 2004;16(4):48-50.

Takagi T, Takayama S, Nakamura T, Horiuchi Y, Toyama Y, Ikegami H. Supracondylar Osteotomy of the Humerus to Correct Cubitus Varus: Do Both Internal Rotation and Extension Deformities Need to Be Corrected? J Bone Joint Surg Am. 2010;92(7):1619-26.

Srivastava A, Srivastava D, Gaur S. Lateral closed wedge osteotomy for cubitus varus deformity. Indian J Orthop. 2008;42(4):466.

Oppenheim W, Clader T, Smith C, Bayer M. Supracondylar Humeral Osteotomy for Traumatic Childhood Cubitus Varus Deformity. Clin Orthop Relat Res. 1984;(188):34-9.

Tien Y, Chih H, Lin G, Lin S. Dome Corrective Osteotomy for Cubitus Varus Deformity. Clin Orthop Relat Res. 2000;380:158-66.

Pankaj A, Dua A, Malhotra R, Bhan S. Dome Osteotomy for Posttraumatic Cubitus Varus. J Pediatr Orthop. 2006;26(1):61-6.

Bellemore M, Barrett I, Middleton R, Scougall J, Whiteway D. Supracondylar osteotomy of the humerus for correction of cubitus varus. J Bone Joint Surg. 1984;66(4):566-72.






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