Vol. 11, Issue 3 (2025)

Background: Pediatric cubitus varus is a common post-traumatic elbow deformity that can lead to functional impairment and cosmetic concerns. Surgical correction is indicated when significant deformity persists.
Aim of the study: To compare clinical, radiological, and functional outcomes of Modified French osteotomy versus Three-Dimensional (3D) osteotomy in the management of pediatric cubitus varus.
Methods: A prospective comparative study was conducted at BSMMU and New Life Hospital, Dhaka, from October 2022 to September 2024. Forty pediatric patients were allocated to 3D osteotomy (n=20) or Modified French osteotomy (n=20). Outcomes included carrying angle, internal rotation correction, elbow range of motion, Mayo Elbow Performance Score (MEPS), and complications. Statistical significance was set at p<0.05.
Result: 3D osteotomy achieved significantly better carrying angle (11.10°±2.13 vs. 9.40°±2.62; p=0.035), internal rotation correction (24.90°±2.67 vs. 22.00°±1.74; p=0.001), elbow flexion (132.90°±2.32° vs. 130.20°±3.25°; p=0.008), and MEPS (91.50±5.64 vs. 86.00±7.18; p=0.015). Excellent outcomes were more frequent in the 3D group (75% vs. 40%; p=0.045). Complications were lower with 3D osteotomy. Operative time and blood loss were higher, but union occurred faster.
Conclusion: Three-dimensional osteotomy provides superior functional and radiological outcomes with fewer complications, whereas Modified French osteotomy remains a viable option in resource-limited settings.