Corrective dome osteotomy for cubitus varus and valgus in adults

Summary 

A corrective dome osteotomy was performed in 19 adult patients for cubitus varus and valgus deformity. The mean age at operation was 31.1 years and the mean follow-up was 41 months. The average postoperative carrying angle in 16 patients with cubitus varus was 6.1° (range, 1-10°), an average correction of 24° (range, 5-36°). The average postoperative carrying angle in 3 patients with cubitus valgus was 6.7° (range, 6-7°), an average correction of 29.3° (range, 29-30°). None of the patients had recurrence of deformity, unsightly scarring, or a prominent lateral or medial condyle at final follow-up. An excellent result was achieved in 13 patients and good in 6. We conclude that corrective dome osteotomy with secure fixation using plates and screws is a reliable option for cubitus varus or valgus deformity in adults.