Corrective dome osteotomy for cubitus varus and valgus in adults

SummaryA 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.