Prospective study of cubitus varus deformity, its etiopathology, clinical study and treatment

Ulhas Dudhekar


Background: Loss of carrying angle at elbow (Cubitus varus) remains one of the commonest complications of supracondylar fractures. Despite the numerous ways are described of treating supracondylar fractures, cubitus varus remains a significant problem. It can only be prevented by achieving and maintaining accurate reduction. Cubitus varus deformity is not a functional problem, but it may become so disfiguring that correction is indicated.

Methods: A total of 10 cases of cubitus varus deformity were treated with modified French osteotomy outcome was measured with by the method of Oppenheim WL, Clader et al.

Results: In this study 10 cases treated with modified French osteotomy. In the present study 70% cases were female. All the patients were in the age group of 6-13 years. The average correction of carrying angle was 5.7 0 of valgus. All the patients were having nearly normal range of motion of the affected elbow. Only one patient suffered radial nerve injury. There was no infection or hypertrophic scar or non-union. The study showed result in the form of excellent - 70%, Good - 20% and poor - 10%.

Conclusions: Modified French method proved safe and satisfactory as it has improved anatomy and cosmetic results. Loss of correction of cubitus varus deformity does not occur. A proper cases selection and proper planning of osteotomy, attention to the technical details is crucial to the success of supracondylar osteotomy of the humerus for correction of cubitus varus.


Cubitus varus deformity, Osteotomy, Preventable

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Tellisi N, Abusetta G, Day M, Hamid A, Ashammakhi N, Wahab KH. Management of Gartland’s type III supracondylar fractures of the humerus in children: the role audit and practice guidelines. Injury. 2004;35(11):1167-71.

Siris IE. Supracondylar fracture of the humerus 330 cases. Surg. Gynecol. Obstet. 1939;68:201.

King D, Secor C. Bow elbow (cubitus varus). J Bone & Joint surgery. 1951;33-A(3):572-6.

Alonso- Llames, R-Diaz Peletier. The correction of post traumatic ISAO, YAMOTO by hemi-wedge osteotomy. International Orthopaedics (SICOT). 1978;2:215-8.

Yamamoto I, Ishii S. Cubitus varus deformity following supracondylar fracture of the humerus, a marhod for measuring rotational deformity. 1989;201:179-85.

Beals R. Normal carrying angle of the elbow. Clin Orthopaedics. 1976;119:194.

Bent G, Tredwel SJ. Supracondylar osteotomy of humerus for correction of cubitus varus. J Paediatric Orthop. 1990;10(2):228-31.

Oppenheim WL, Clader TJ, Smith C, Bayer M. Supracondylar humeral osteotomy for traumatic childhood cubitus varus deformity. Clin Orthop Relat Res. 1984;(188):34-9.

DeRosa GP, Graziano GP. A new osteotomy for cubitus varus. Clin Orthop Relat Res. 1988;(236):160-5.

Piggot J, Graham HK, McCoy GF. Supracondylar fractures in children, Treatment by straight lateral traction. J Bone Joint Surg Br. 1986;68(4):577-83.

Bender J. Cubitus varus after supracondylar fracture of the humerus. Can this deformity be prevented. Reconstr Surg Traumatol. 1979;17:100-6.

Sweeney JG. Osteotomy of the humerus for malunion of supracondylar fracture. J Bone Joint Surg Br. 1975;57:117.

Jones W. Fracture and joint injury 6th edition. Churchil Livingston. 1982:599-606.

Dowd GSE, Hopcroft PW. Varus deformity in supracondylar fractures of the humerus in children. Injury. 1970;10:297-303.

Hindman BW, Schreiber RR, Wiss DA, Ghilarducci MJ, Avolio RE. Supracondylar fracture of the humerus prediction of the cubitus varus deformity with CT. Radiology. 1988;168(2):513-5.

Khare GN, Gautam VK. Prevention of cubitus varus deformity in supracondylar fracture of the humerus. Injury. 1991;22(3):202-6.

Robert D, Ambrosia D. Supracondylar fracture of the humerus prevention of the cubitus varus. J Bone Joint Surg. 1972;54A-1:60-6.

Patwardhan S, Shyam AK. Cubitus varus deformity rationale of treatment and methods. IJPO. 2015;1:1-10.