Published: 2017-06-23

Modified supracondylar dome osteotomy: our experience in 11 children

Abhinav ., Ajoy Kumar Manav, Arjun Singh


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.


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

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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.