title: Triple modified French osteotomy: a possible answer to cubitus varus deformity. A technical note.
abstract: BACKGROUND
  Cubitus varus is the most common delayed complication of pediatric supracondylar humerus fractures. We developed a new technique, the triple modified French osteotomy, that we believe may be the answer to this common but yet unsolved deformity.
  
  
  METHODS
  Ten patients aged between 6 and 12 years with post-traumatic cubitus varus deformity were operated on with the triple modified French technique. A varus angle of more than 10° measured on the radiograph was an indication for surgery.
  
  
  RESULTS
  The radiologic union at the osteotomy site took place in a mean period of 5.5 weeks (range, 4.5-7 weeks). The average correction achieved by the osteotomy was 27°. There were no cases with complications of radial or ulnar nerve palsy or joint stiffness.
  
  
  CONCLUSIONS
  The triple modified lateral closing wedge French osteotomy is a simple and cosmetically effective method of treating cubitus varus deformity in children. It may obviate the need for more complex procedures; at the same time, it also addresses the potential drawbacks of a simple closing wedge osteotomy.
authors.affiliation: Department of Orthopedic Surgery, Post Graduate Institute of Medical Education and Research, Dr Ram Manohar Lohia Hospital, New Delhi, India. Electronic address: tanwar_yashwant@yahoo.co.in.
authors.forename: Yashwant S
authors.initials: YS
authors.lastname: Tanwar
authors.affiliation: Department of Orthopedic Surgery, Post Graduate Institute of Medical Education and Research, Dr Ram Manohar Lohia Hospital, New Delhi, India.
authors.forename: Masood
authors.initials: M
authors.lastname: Habib
authors.affiliation: Bokaro General Hospital, Bokaro, Jharkhand, India.
authors.forename: Atin
authors.initials: A
authors.lastname: Jaiswal
authors.affiliation: Department of Orthopedic Surgery, Post Graduate Institute of Medical Education and Research, Dr Ram Manohar Lohia Hospital, New Delhi, India.
authors.forename: Satyaprakash
authors.initials: S
authors.lastname: Singh
authors.affiliation: Department of Orthopedic Surgery, Post Graduate Institute of Medical Education and Research, Dr Ram Manohar Lohia Hospital, New Delhi, India.
authors.forename: Rajender K
authors.initials: RK
authors.lastname: Arya
authors.affiliation: Department of Orthopedic Surgery, Post Graduate Institute of Medical Education and Research, Dr Ram Manohar Lohia Hospital, New Delhi, India.
authors.forename: Skand
authors.initials: S
authors.lastname: Sinha
mesh_terms: D002648:Child; D002675:Child, Preschool; D004551:Elbow Joint / Q000601:surgery*; D005260:Female; D006801:Humans; D006810:Humeral Fractures / Q000150:complications* / Q000601:surgery; D016916:Joint Deformities, Acquired / Q000209:etiology / Q000601:surgery*; D008297:Male; D010027:Osteotomy / Q000379:methods*; D011446:Prospective Studies; D000092464:Elbow Injuries
keywords: Cubitus varus; French osteotomy; supracondylar fracture