TechniquesShortening Dome Osteotomy for Correction of Complex Multiplanar Elbow Deformities: A New Surgical TechniqueKrishna, Anant MS (Ortho)*; Kumar, Manoj MS (Ortho), DNB (Ortho)†; Singh, Pritish MS (Ortho), DNB (Ortho), MNAMS†; Gupta, Vikas MS (Ortho)‡; Arora, Sumit MS (Ortho), DNB (Ortho), MRCPS (Glasgow), MNAMS†Author Information *Department of Orthopaedics, All India Institute of Medical Sciences †Department of Orthopaedic Surgery, Maulana Azad Medical College & Associated Lok Nayak Hospital ‡Central Institute of Orthopaedics, Vardhman Mahavir Medical College & associated Safdarjung Hospital, New Delhi, India Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding. Address correspondence and reprint requests to Sumit Arora, MS (Ortho), DNB (Ortho), MRCPS (Glasgow), MNAMS, c/o Mr Raj Kumar Arora, B-253, Second floor, Derawal Nagar, Delhi-110009, India. E-mail: [email protected]. Techniques in Hand & Upper Extremity Surgery: June 2021 - Volume 25 - Issue 2 - p 123-126 doi: 10.1097/BTH.0000000000000314 Buy Metrics Abstract Despite surgical advances in fracture management, it is not uncommon to find pediatric or adolescent patients with elbow deformities. Correction of severe deformities, often leaves the ingenuity of the treating surgeon asking for more. Various osteotomy techniques have been described in the literature for the correction of elbow deformities. Although, the concept of dome osteotomy did address certain inadequacies of the existing osteotomy techniques for distal humerus, but correction of complex deformities associated with deformation of trochlea and olecranon fossa still remain a surgical challenge which has not been adequately addressed in the literature so far. Our experience with the existing osteotomies for distal humerus led to the development of a new surgical technique of shortening dome osteotomy for correction of such complex multiplanar elbow deformities. Surgical steps, indications, and expected outcome is described. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.