Comparative study on the degree of correction and type of complication between modified French and dome supracondylar osteotomy in a tertiary care centre of West Bengal

Abstract

Introduction: Cubitus Varus is one of the most common deformity around the elbow. Malunited supracondylar fracture of humerus is the most common cause of the deformity in children. This study was conducted to compare the degree of correction and type of complication between modified French and dome supracondylar osteotomy. Materials and Methods: The present study is a prospective study of 61 children with Cubitus Varus treated surgically between January 2017 to May 2018. In our series of 61 cases, 31 were treated with modified French osteotomy and 30 with dome osteotomy. The patients were followed up periodically. Results: At final follow-up by Flynn’s criteria for functional outcome 19 had excellent outcome, 9 had good result, 3 had fair result and none had poor result in modified French group. In dome osteotomy group 15 had excellent result, 10 had good result, 5 had fair result. There was 1 case of infection, 1 case of delayed union, 1 case of implant failure and no nerve injury. In modified French group. There were 2 cases of infection, 1 case of delayed union, 2 cases of implant failure, and 1 case of nerve injury in dome osteotomy group. Conclusion: The present study found that the degree of correction was same, but rate of complication was less in modified French treated group than in dome osteotomy group. Though lateral prominence was corrected in dome osteotomy it was associated with more complication, inadequate correction, nerve palsy, loss of motion and circulatory compromise. KeywordsCubitus Varus, Dome osteotomy, Modified French osteotomy ...................................................................................................................................................