Cubitus Varus Deformity in a 14-Year-Old Adolescent Male Corrected by Lateral Closing Wedge Osteotomy and Recon Plate Fixation

Dipen Bhowmik

doi:10.36948/ijfmr.2026.v08i02.71252

Cubitus Varus Deformity in a 14-Year-Old Adolescent Male Corrected by Lateral Closing Wedge Osteotomy and Recon Plate Fixation

Author(s)	Dr. Dipen Bhowmik
Country	India
Abstract	Title Cubitus Varus Deformity in a 14-Year-Old Adolescent Male Corrected by Lateral Closing Wedge Osteotomy and Recon Plate Fixation Introduction Cubitus varus deformity, commonly known as gun-stock deformity, is a frequent late complication following malunited supracondylar fractures of the humerus in children, with an incidence ranging from 3–57%. It is a triplanar deformity consisting of medial angulation in the coronal plane, hyperextension in the sagittal plane, and internal rotation in the axial plane. Among these components, the coronal plane varus deformity does not remodel spontaneously, resulting in cosmetic and functional concerns. Surgical correction using lateral closing wedge osteotomy is a widely accepted method for restoring alignment. Materials and Methods A 14-year-old male presented with deformity and mild pain in the right elbow. The patient had sustained a supracondylar humerus fracture 7 years earlier, which was treated conservatively. Radiographic evaluation revealed 20° varus deformity, while the contralateral elbow had 8° valgus alignment. The patient underwent lateral closing wedge osteotomy, where the wedge was marked using K-wires under C-arm guidance, excised without breaching the medial cortex, and stabilized with a 6-hole reconstruction (Recon) plate. Postoperatively, the elbow was immobilized in a posterior splint for 4 weeks, followed by rehabilitation. Results and Discussion At 7 weeks, the patient regained full elbow motion. Final follow-up showed carrying angle of 7°, elbow range of motion 0–130°, and radiological union at 8 weeks. Rigid fixation using a recon plate provides stable osteotomy fixation, prevents loss of correction, and facilitates early mobilization and healing. Conclusion Lateral closing wedge osteotomy with recon plate fixation is a safe and effective technique for correction of cubitus varus deformity, providing reliable deformity correction, stable fixation, early union, and satisfactory functional outcomes.
Keywords	Cubitus Varus, Supracondylar Humerus Fracture, Lateral Closing Wedge Osteotomy, Distal Humerus Osteotomy, Reconstruction Plate Fixation, Pediatric Elbow Deformity
Field	Medical / Pharmacy
Published In	Volume 8, Issue 2, March-April 2026
Published On	2026-03-11
DOI	https://doi.org/10.36948/ijfmr.2026.v08i02.71252

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Cubitus Varus Deformity in a 14-Year-Old Adolescent Male Corrected by Lateral Closing Wedge Osteotomy and Recon Plate Fixation

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