Modified French osteotomy for Cubitus varus correction- Our experience:

Abstract

Background: Various fixation techniques have been described for the osteotomy for correction of cubitus Varus. K- wiring was used in the past for fixation. However rates of fixation failure and pin track infection were high. Fixation with two screws and a figure of eight wiring provides a stable fixation in children younger than 15 years. We used a modified lateral approach and figure of eight construct with two screws and evaluated the outcome of the results. Methods: 35 patients out of the total 54 patients who underwent modified French osteotomy between January 2013 to December 2021 were evaluated in a retrospective manner. Patients were evaluated using the modified Mayo elbow performance scoring system. Results: There were 22 males and 13 females in the study group. We had excellent result in 16 cases, good outcome in 13 cases and fair outcome in 6 of our cases. Superficial infection was seen in three patients and four patients had occasional negligible pain. There were no loss of correction and fixation failures in our study. Conclusion: Modified French osteotomy using Two screws and figure of eight wiring is a simple and safe procedure that gives excellent outcomes. A careful preoperative planning, careful surgical technique and stable fixation are key to achieve excellent and good functional outcomes. Key words: French osteotomy, Carrying angle, Cubitus Varus.

Keywords

• French osteotomy
• Carrying angle
• Cubitus Varus.